Short-term follow-up in 6 months is unnecessary for asymptomatic breast lesions with benign concordant results obtained at ultrasonography-guided 14-gauge core needle biopsy

Am J Surg. 2016 Jan;211(1):152-8. doi: 10.1016/j.amjsurg.2015.03.036. Epub 2015 Aug 28.

Abstract

Background: We investigated whether short-term follow-up in 6 months was appropriate for asymptomatic benign concordant lesions on ultrasonography-guided core needle biopsy (ultrasonography-guided CNB).

Methods: Of 1,111 lesions, 944 underwent follow-up within 4 to 9 months after CNB, and 359 of 944 underwent a 2nd follow-up within 9 to 15 months. One hundred sixty-seven underwent a 1st follow-up within 9 to 15 months. Follow-up intervals were classified according to an interval of 6 and 12 months with 2 different methods. First, 944 and 167 lesions were classified into the 6- and 12-month groups. Second, 944 and 526 lesions (sum of 167 and 359 lesions) were classified into the 6- and 12-month groups. Clinicopathologic factors were compared between the 2 groups.

Results: None of the benign concordant lesions were malignant; 1.4% of the lesions showed progression in the 6-month group, not significantly different from 1.2% and .8% of the 12-month group. Mean age, mean lesion size, final assessments, and specific or nonspecific pathologies were not different between the 2 groups.

Conclusions: Short-term follow-up in 6 months is unnecessary for asymptomatic benign concordant breast lesions at ultrasonography-guided CNB.

Keywords: Breast malignancy; Core needle biopsy; Follow-up.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Asymptomatic Diseases
  • Biopsy, Large-Core Needle
  • Breast / pathology*
  • Breast Diseases / pathology
  • Breast Neoplasms / pathology*
  • Diagnosis, Differential
  • False Negative Reactions
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Retrospective Studies
  • Ultrasonography, Interventional*
  • Ultrasonography, Mammary*