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Table 5 Further therapeutic or diagnostic surgical removal of additional tissue from the same anatomical site of the affected breast and patient-requested surgical removal of additional tissue from the same anatomical site of the affected breast, done in an immediate fashion, after the original ultrasound-guided diagnostic breast biopsy procedure.

From: Ultrasound-guided diagnostic breast biopsy methodology: retrospective comparison of the 8-gauge vacuum-assisted biopsy approach versus the spring-loaded 14-gauge core biopsy approach

 

8-gauge

14-gauge

All cases

P-value

All cases in which there was a recommendation for further therapeutic or diagnostic surgical removal of additional tissue from the affected breast, or the patient personally requested surgical removal of additional tissue from the affected breast in an immediate fashion

180 (24.9%)

515 (71.6%)

695 (48.2%)

<0.001

All cases in which the previous recommendation for further therapeutic or diagnostic surgical removal of additional tissue from the affected breast was not subsequently undertaken

9 (5.0%)

44 (8.5%)

53 (7.6%)

0.123

All cases in which there was a recommendation for further therapeutic surgical removal of additional tissue from the affected breast in an immediate fashion for a biopsy-proven neoplasm

153 (21.1%)

379 (52.7%)

532 (36.9%)

<0.001

All cases in which the previous recommendation for further therapeutic surgical removal of additional tissue from the affected breast for a biopsy-proven neoplasm was not subsequently undertaken

4 (2.6%)

41 (10.8%)

45 (8.5%)

0.002

Reason why previous recommendation for further therapeutic surgical removal of additional tissue from the affected breast for a biopsy-proven neoplasm was not subsequently undertaken

   

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   Co-existing distant metastatic disease

2 (50.0%)

23 (56.1%)

25 (55.6%)

---------

   Co-morbid conditions

1 (25.0%)

13 (31.7%)

14 (31.1%)

---------

   Patient elected to pursue treatment elsewhere

1 (25.0%)

5 (12.2%)

6 (13.3%)

---------

All cases in which there was a recommendation for further diagnostic surgical removal of additional tissue from the affected breast in an immediate fashion for an indeterminate/inconclusive finding on the original ultrasound-guided diagnostic breast biopsy

18 (2.5%)

81 (11.3%)

99 (6.9%)

<0.001

All cases in which the previous recommendation for further diagnostic surgical removal of additional tissue from the affected breast in an immediate fashion for an indeterminate/inconclusive finding on the original ultrasound-guided diagnostic breast was not subsequently undertaken

5 (27.8%)

3 (3.7%)

8 (8.1%)

0.005

Reason why previous recommendation for further diagnostic surgical removal of additional tissue from the affected breast for an indeterminate/inconclusive finding on the original ultrasound-guided diagnostic breast was not subsequently undertaken

   

---------

   Patient preferred observation alone

3 (60.0%)

0 (0%)

3 (37.5%)

---------

   Patient elected to pursue treatment elsewhere

2 (40.0%)

3 (100%)

5 (62.5%)

---------

All cases in which the patient personally requested further diagnostic surgical removal of additional tissue from the affected breast in an immediate fashion after having a benign finding on the original ultrasound-guided diagnostic breast biopsy

9 (1.2%)

54 (7.5%)

63 (4.4%)

<0.001