title: [Diagnostics in clinically occult, radiologically suspect breast lesions more often surgery than needle diagnostics with image monitoring].
abstract: OBJECTIVE
  To inventory the diagnostic methods used in patients with clinically occult, radiologically suspect breast lesions.
  
  
  METHODS
  Enquiry.
  
  
  METHODS
  The departments of radiology of all Dutch hospitals were sent a list in January 2000 containing questions concerning the number of thread localizations in 1999 and the use of cytological or histological needle diagnostics with image monitoring prior to surgical intervention in clinically occult, radiologically suspect breast lesions. Of the 120 questionnaires mailed, 74 (62%) were completed and returned by clinics throughout the country.
  
  
  RESULTS
  Fifty-one of the 74 hospitals (69%) had prior to operation carried out histological or cytological examinations and in these 51 hospitals this was done in 1743 of the 2857 lesions (61%): fine-needle aspiration cytology was performed in 1046 (/1743 = 60%; /4140 lesions in all 74 hospitals = 25%) and/or histological needle biopsy in 784 (45%; /4140 = 19%).
  
  
  CONCLUSIONS
  In less than half of all non-palpable breast abnormalities non-surgical methods of diagnosis are used, histological needle biopsy less often than fine needle aspiration cytology.
authors.affiliation: Martini Ziekenhuis, locatie Van Swieten, Postbus 30.033, 9700 RM Groningen.
authors.forename: R M
authors.initials: RM
authors.lastname: Pijnappel
authors.forename: P H
authors.initials: PH
authors.lastname: Peeters
authors.forename: I H
authors.initials: IH
authors.lastname: Borel Rinkes
authors.forename: J L
authors.initials: JL
authors.lastname: Peterse
authors.forename: R
authors.initials: R
authors.lastname: Holland
authors.forename: W P
authors.initials: WP
authors.lastname: Mali
mesh_terms: D001706:Biopsy / Q000379:methods / Q000706:statistics & numerical data*; D001707:Biopsy, Needle / Q000706:statistics & numerical data; D001940:Breast / Q000473:pathology / Q000601:surgery; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D003584:Cytological Techniques / Q000706:statistics & numerical data; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D009426:Netherlands; D011795:Surveys and Questionnaires
vernacular_title: Diagnostiek bij klinisch occulte, radiologisch suspecte mamma-afwijkingen: vaker chirurgisch dan met behulp van beeldgestuurde punctietechnieken.