Predictive value of needle core biopsy diagnoses of lesions of uncertain malignant potential (B3) in abnormalities detected by mammographic screening

Aims:  Breast needle core biopsy (NCB) is now a commonplace diagnostic procedure in breast cancer screening, providing accurate diagnoses of both benign and malignant lesions. However, NCB may result in the borderline diagnoses of lesion of uncertain malignant potential (B3) or suspicious of malignancy (B4). The aim was to study a large series of B3 cases from population‐based screening subjects in order to evaluate positive predictive values (PPVs) for malignancy.

[1]  D. Ravichandran,et al.  Screen-detected breast lesions with an indeterminate (B3) core needle biopsy should be excised. , 2008, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[2]  C. Elston,et al.  Histological features useful in the distinction of phyllodes tumour and fibroadenoma on needle core biopsy of the breast , 2007, Histopathology.

[3]  S. Ciatto,et al.  Borderline breast core needle histology: predictive values for malignancy in lesions of uncertain malignant potential (B3) , 2007, British Journal of Cancer.

[4]  M. Kerin,et al.  Radial scars/complex sclerosing lesions and malignancy in a screening programme: incidence and histological features revisited , 2007, Histopathology.

[5]  S. Ganau,et al.  Breast core biopsy reporting categories--An internal validation in a series of 3054 consecutive lesions. , 2007, Breast.

[6]  I. Ellis,et al.  An overview of assessment of prognostic and predictive factors in breast cancer needle core biopsy specimens , 2006, Journal of Clinical Pathology.

[7]  J. Cangiarella,et al.  Can core biopsy reliably diagnose mucinous lesions of the breast? , 2007, American journal of clinical pathology.

[8]  T. Hijaz,et al.  Underestimation of the presence of breast carcinoma in papillary lesions initially diagnosed at core-needle biopsy. , 2007, Radiology.

[9]  M. Dillon,et al.  Predictive Value of Breast Lesions of “Uncertain Malignant Potential” and “Suspicious for Malignancy” Determined by Needle Core Biopsy , 2007, Annals of Surgical Oncology.

[10]  N. Dallimore,et al.  Immunohistochemistry increases the accuracy of diagnosis of benign papillary lesions in breast core needle biopsy specimens , 2006, Histopathology.

[11]  L. Liberman,et al.  Is surgical excision warranted after benign, concordant diagnosis of papilloma at percutaneous breast biopsy? , 2006, AJR. American journal of roentgenology.

[12]  J. Cangiarella,et al.  Papillary lesions of the breast at percutaneous core-needle biopsy. , 2006, Radiology.

[13]  A. Ricci,et al.  Follow-up surgical excision is indicated when breast core needle biopsies show atypical lobular hyperplasia or lobular carcinoma in situ. , 2005, The American journal of surgical pathology.

[14]  D. Wolverton,et al.  Fibroepithelial lesions with cellular stroma on breast core needle biopsy: are there predictors of outcome on surgical excision? , 2005, American journal of clinical pathology.

[15]  J. Silverman,et al.  Follow-up Surgical Excision Is Indicated When Breast Core Needle Biopsies Show Atypical Lobular Hyperplasia or Lobular Carcinoma In Situ: A Correlative Study of 33 Patients With Review of the Literature , 2005, The American journal of surgical pathology.

[16]  I. Haigh,et al.  Needle core biopsy can reliably distinguish between benign and malignant papillary lesions of the breast , 2005, Histopathology.

[17]  J. A. Patterson,et al.  Radial scar, complex sclerosing lesion and risk of breast cancer. Analysis of 175 cases in Northern Ireland. , 2004, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[18]  G. Farshid,et al.  Assessment of 142 Stellate Lesions With Imaging Features Suggestive of Radial Scar Discovered During Population-based Screening for Breast Cancer , 2004, The American journal of surgical pathology.

[19]  J. Liston,et al.  Surgical excision is warranted following a core biopsy diagnosis of mucocoele‐like lesion of the breast , 2004, Histopathology.

[20]  C. Quinn,et al.  Fourteen‐gauge needle core biopsy of mammographically evident radial scars , 2004 .

[21]  I. Ellis,et al.  Excision biopsy findings of patients with breast needle core biopsies reported as suspicious of malignancy (B4) or lesion of uncertain malignant potential (B3) , 2003, Histopathology.

[22]  E. Cronin,et al.  Invasive Mammary Carcinoma After Immediate and Short-Term Follow-up for Lobular Neoplasia on Core Biopsy , 2003, The American journal of surgical pathology.

[23]  J. Liston,et al.  Will the spectrum of lesions prompting a “B3” breast core biopsy increase the benign biopsy rate? , 2003, Journal of clinical pathology.

[24]  N. Sneige,et al.  Lobular Carcinoma In Situ Diagnosed By Core Needle Biopsy: When Should It Be Excised? , 2003, Modern Pathology.

[25]  Sabine Mérienne,et al.  Programme , 1953, Neuromuscular Disorders.

[26]  Mary Scott Soo,et al.  Imaging-guided core needle biopsy of papillary lesions of the breast. , 2002, AJR. American journal of roentgenology.

[27]  S. Schnitt,et al.  Nonmalignant Lesions in Breast Core Needle Biopsies: To Excise or Not to Excise? , 2002, The American journal of surgical pathology.

[28]  A. Renshaw.  Can mucinous lesions of the breast be reliably diagnosed by core needle biopsy? , 2002, American journal of clinical pathology.

[29]  G. Sterrett,et al.  Atypical ductal hyperplasia and atypia of uncertain significance in core biopsies from mammographically detected lesions: correlation with excision diagnosis , 2002, Pathology.

[30]  N. Dallimore,et al.  Conversion to core biopsy in preoperative diagnosis of breast lesions: is it justified by results? , 2001, Journal of clinical pathology.

[31]  M. Briley,et al.  The role and histological classification of needle core biopsy in comparison with fine needle aspiration cytology in the preoperative assessment of impalpable breast lesions , 2001, Journal of clinical pathology.

[32]  R. J. Jackman,et al.  Stereotactic, automated, large-core needle biopsy of nonpalpable breast lesions: false-negative and histologic underestimation rates after long-term follow-up. , 1999, Radiology.

[33]  R. Warren,et al.  Changing to core biopsy in an NHS breast screening unit. , 1997, Clinical radiology.

[34]  B. Muir,et al.  The impact of core-biopsy on pre-operative diagnosis rate of screen-detected breast cancers. , 1997, Clinical Radiology.

[35]  I. Ellis,et al.  The impact of core-biopsy on pre-operative diagnosis rate of screen detected breast cancers. , 1996, Clinical radiology.

[36]  C. Elston,et al.  The role of pre‐operative diagnosis in breast cancer , 1996, Histopathology.

[37]  J. Lamb,et al.  Role of fine needle aspiration cytology in breast cancer screening. , 1987, Journal of clinical pathology.