[Preoperative biopsy diagnosis in suspicion of breast cancer].
The golden standard in non-operative breast cancer diagnosis is the triple test, a combination of clinical evaluation, mammography/ultrasound and needle biopsy, either fine needle aspiration cytology (FNAC) or histological core biopsy. FNAC and core biopsy both have advantages and disadvantages but neither of them can act as a decisive diagnostic procedure on its own. The final diagnosis should always be a consensus between the three diagnostic modalities in the triple test. Quality assurance of the pathological diagnosis is a must. The number of uncertain diagnoses i.e. atypia or suspicion of malignancy should be kept at a minimum. These diagnostic categories call for additional diagnostic procedures and thereby cause a delay in reaching the final diagnosis leading to definitive treatment.
Rasmussen
Birgitte Bruun
BB
Nordsjaellands Hospital, Patologiafdelingen, Hillerød. bbr@noh.regionh.dk
Bak
Martin
M
Rank
Fritz E
FE
D044963:Biopsy, Fine-Needle / Q000592:standards; D001707:Biopsy, Needle / Q000592:standards; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D011300:Preoperative Care