Background: Breast cancer is the most common malignant neoplasm and the
Background: Breast cancer is the most common malignant neoplasm and the most common cause of death among women. of 98.5%). There were no false-positive results in our material – the specificity of the method was 100%. Conclusions: Histopathological interpretation is a substantial cause of false-negative results of breast core needle biopsy. Thus, in case of a radiological-histopathological divergence, histopathological analysis of biopsy specimens should be repeated. The main radiological causes of false-negative results of breast core needle biopsy are as follows: sampling from an inappropriate site and histopathological non-homogeneity of cancer infiltration. Keywords: breast cancer, core needle biopsy, false negative results Background Breast cancer is the most frequent malignancy and the most common cause 708275-58-5 supplier of death in women. In highly developed countries, the incidence of breast cancer is increasing. Poland belongs to countries with a medium incidence rate. Epidemiological data of 2006 report 13322 new cases (standardised incidence coefficient of 44.2) . Despite advances in the diagnostics and treatment of breast cancer, it was impossible to achieve a decrease in the number of deaths in Poland C the number is still on the rise, and in 2006 it was 5212 (standardised death coefficient of 14.8) . Advances in the field of imaging led to the development of methods that allow for breast cancer detection in a clinically silent period. This significantly improves the prognosis. A basic method of 708275-58-5 supplier radiological diagnostics in breast cancer is X-ray mammography. It has become a tool used in screening thanks (inter alia) to its high sensitivity, of 80C100% [2C4]. Unfortunately, the specificity of this method is substantially lower, which requires using other diagnostic methods (utrasonography, sonoelastography, MR mammography) and cytological or histopathological verification of suspicious lesions. Approximately 75% (on average) of lesions qualified for microscopic verification on the basis of mammography turn out to be benign . Core needle biopsy is an increasingly more common method used in the diagnostics of breast lesions 708275-58-5 supplier suspected of malignancy. This is the main alternative to a reference surgical biopsy [6C8] which is more expensive, carries an additional risk connected with the operation and causes a higher mental stress for the patient. Surgical biopsy is not free of false-negative results either. According to one of the studies, their rate was 2.5 . Core needle biopsy allows for sampling of tissue material which can help in exact identification of the cancer type and grade. Moreover, it does not require patients hospitalisation, it is performed under local anaesthesia and is minimally invasive. The currently used biopsy systems allow for a precise identification of the site of material sampling. Unfortunately, core needle biopsy carries also a risk of false-negative results. Material and Medods At the Maria Sk? odowskaCCurie Memorial Cancer Center And Institute Of Oncology, Gliwice Branch, 988 core needle biopsies were performed between 01 THBS-1 March 2006 and 29 February 2008. The examined women were aged from 25 to 85 years (mean age of 55.1 years). They were qualified for core needle biopsy on the basis of mammography and ultrasonography. Malignant lesions were found in 426/988 cases (43.12%), atypical ductal/lobular hyperplasia in 69/988 cases (6.98%) [in 13/69 cases of atypical hyperplasia (18.84%), cancer was diagnosed after tumorectomy], and benign lesions in 493/988 cases (49.90%). Results of 22/988 biopsies (2.23%) which showed benign lesions were found to be false-negative because further diagnostic procedures performed within maximum 3 months revealed a malignancy at the site qualified for biopsy on the basis of mammographic or ultrasound results. Cases in which the biopsy revealed atypia and further diagnostic procedures.