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Table 6 Assessment of accuracy of the initial ultrasound-guided diagnostic breast biopsy by 8-gauge vacuum-assisted biopsy technique versus spring-loaded 14-gauge core biopsy technique for all cases in which a subsequent surgical excision of tissue from the same anatomical site of the affected breast was performed in an immediate fashion.

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

Cases in which a subsequent surgical excision of tissue from the affected breast was performed in an immediate fashion

171 (23.6%)

471 (65.5%)

642 (44.5%)

<0.001

Histopathologic findings matched exactly for both the initial ultrasound-guided biopsy and the subsequent immediate surgical excision

168 (98.2%)

410 (87.0%)

578 (90.0%)

<0.001

Mismatch observed in the type of benign diagnosis

0 (0%)

37 (7.9%)

37 (5.8%)

<0.001

Misestimation of benign findings instead of invasive carcinoma

0 (0%)

7 (1.5%)

7 (1.1%)

0.199

Misestimation of benign findings instead of DCIS with microinvasive

0 (0%)

0 (0%)

0 (0%)

---------

Misestimation of benign findings instead of DCIS

0 (0%)

0 (0%)

0 (0%)

---------

Misestimation of high-risk breast lesions instead of invasive carcinoma

0 (0%)

0 (0%)

0 (0%)

---------

Misestimation of high-risk breast lesions instead of DCIS with microinvasive

0 (0%)

0 (0%)

0 (0%)

---------

Misestimation of high-risk breast lesions instead of DCIS

0 (0%)

1 (0.2%)

1 (0.2%)

1.0

Misestimation of DCIS instead of invasive carcinoma

1 (0.6%)

6 (1.3%)

7 (1.1%)

0.682

Misestimation of DCIS instead of DCIS with microinvasion

2 (1.2%)

0 (0%)

2 (0.3%)

0.071

  1. * high risk breast lesions included atypical ductal hyperplasia, atypical lobular hyperplasia, and lobular carcinoma in situ. DCIS: ductal carcinoma in situ