%0 Journal Article
%T Bi¨®psia com agulha grossa guiada por ultrassonografia para o diagn¨®stico dos tumores fibroepiteliais da mama
%A Ricci
%A Marcos Desid¨¦rio
%A Amaral
%A Paulo Gustavo Ten¨®rio do
%A Aoki
%A Denis Seiiti
%A Oliveira Filho
%A H¨¦lio Rubens de
%A Pinheiro
%A Walter da Silva
%A Filassi
%A Jos¨¦ Roberto
%A Baracat
%A Edmund Chada
%J Revista Brasileira de Ginecologia e Obstetr¨ªcia
%D 2011
%I Federa??o Brasileira das Sociedades de Ginecologia e Obstetr¨ªcia
%R 10.1590/S0100-72032011000100004
%X purpose: to evaluate the concordance rate of ultrasound-guided core needle biopsy followed by excisional biopsy in palpable breast lumps, suggestive of fibroepithelial tumors. method: a retrospective study included 70 biopsies with a histological diagnosis of fibroepithelial tumor in 67 out of 531 patients with breast lesions submitted to ultrasound-guided core needle biopsy with a high frequency (7.5 mhz) linear transducer, using an automatic bard-magnum gun and a 14-gauge needle. cases with a diagnosis of fibroepithelial tumor by core needle biopsy or excisional biopsy and with a diagnosis of fibrosclerosis were included in the study. the agreement between the two biopsy methods was assessed using the kappa coefficient. results: excisional biopsy revealed 40 cases of fibroadenoma (57.1%), 19 cases of phyllodes tumor (27.2%), and 11 cases of fibrosclerosis (15.7%). the concordance rate for fibroadenoma was substantial (k = 0.68, 95%ci = 0.45 - 0.91), almost perfect for the phyllodes tumor (k = 0.81, 95%ci = 0.57 - 1.0), and moderate for fibrosclerosis (k = 0.58, 95%ci = 0.36 - 0.90). conclusions: the core needle biopsy is a minimally invasive method that has "substantial" to "almost perfect" concordance rate with excisional biopsy. fibrosclerosis should be considered in the differential diagnosis of fibroepithelial tumors.
%K fibroadenoma
%K neoplasms
%K fibroepithelial [ultrasonography]
%K breast neoplasms
%K phyllodes tumor
%K biopsy
%K needle [methods]
%K diagnosis
%K differential
%K ultrasonography
%K interventional.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0100-72032011000100004&lng=en&nrm=iso&tlng=en