Correlación de hallazgos histopatológicos entre biopsias percutáneas guiadas por métodos de imagen y biopsia excisional en patología de la mama.

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Title: Correlación de hallazgos histopatológicos entre biopsias percutáneas guiadas por métodos de imagen y biopsia excisional en patología de la mama.
Alternate Title: Correlation of histopathological findings between percutaneous biopsies guided by image methods and excisional biopsy in pathology of the breast.
Authors: Gómez-Espinosa, Fabian1 fabian.gomez.e@hotmail.com, Onofre-Castillo, Javier J.1, Putz-Botello, Maria Dolores1
Source: Anales de Radiologia, Mexico. oct-dic2020, Vol. 19 Issue 4, p297-305. 9p.
Abstract (English): Introduction: The reliability of percutaneous biopsy guided by imaging method is high, it shows 87-96% of concordance between percutaneous biopsy guided by imaging methods and excisional biopsies, in these procedures there is a possibility of false negatives and possible undervaluation of the injury. Objective: Establish the concordance in the report of histopathological findings between biopsies guided by imaging methods and excisional biopsies in the breast pathology. Material and method: Cross-sectional, retrolective, observational and comparative study, of patients diagnosed with breast cancer from 2015 to 2019, who underwent biopsies guided by imaging methods with subsequent excisional biopsy, later were took the pathology reports and then their concordance was then analyzed. Results: 98.8% (n = 81) of the reports of both types of biopsy agreed on the diagnosis. When statistically evaluated, a very good degree of agreement was found between both techniques (kappa = 0.9862; p < 0.001). Also, an almost perfect convergence was found when we were evaluating the correlation of the reports of the two types of biopsy (t = 0.9959; p < 0.001). Conclusions: The results found a high concordance between histopathological reports by image-guided biopsy and excisional biopsy. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La confiabilidad de las biopsia percutáneas guiadas por método de imagen es alta, y se muestra una concordancia del 87-96% entre biopsias percutáneas guiadas por métodos de imagen y biopsias excisionales. En estos procedimientos existe la posibilidad de falsos negativos y posible infravaloración de la lesión. Objetivo: Establecer la concordancia en el reporte de los hallazgos histopatológicos entre biopsias guiadas por métodos de imagen y biopsias excisionales en patología de la mama. Material y método: Estudio transversal, retrolectivo, observacional y comparativo. Se tomaron las pacientes con diagnóstico de cáncer de mama desde el año 2015 hasta el 2019, a quienes se les realizó biopsias guiadas por métodos de imagen con posterior biopsia excisional, después se tomaron los reportes de patología y luego se analizó su concordancia. Resultados: El 98.8% (n = 81) de los reportes de ambos tipos de biopsia concordaron en el diagnóstico. Al evaluarlo estadísticamente, se encontró un grado de acuerdo muy bueno entre ambas técnicas (kappa = 0.9862; p < 0.001). Además, se encontró una convergencia casi perfecta al evaluar la correlación de los reportes de los dos tipos de biopsia (t = 0.9959; p < 0.001). Conclusiones: Los resultados muestran una alta concordancia entre los reportes histopatológicos por biopsia guiada por imagen y la biopsia excisional. [ABSTRACT FROM AUTHOR]
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Abstract:Introduction: The reliability of percutaneous biopsy guided by imaging method is high, it shows 87-96% of concordance between percutaneous biopsy guided by imaging methods and excisional biopsies, in these procedures there is a possibility of false negatives and possible undervaluation of the injury. Objective: Establish the concordance in the report of histopathological findings between biopsies guided by imaging methods and excisional biopsies in the breast pathology. Material and method: Cross-sectional, retrolective, observational and comparative study, of patients diagnosed with breast cancer from 2015 to 2019, who underwent biopsies guided by imaging methods with subsequent excisional biopsy, later were took the pathology reports and then their concordance was then analyzed. Results: 98.8% (n = 81) of the reports of both types of biopsy agreed on the diagnosis. When statistically evaluated, a very good degree of agreement was found between both techniques (kappa = 0.9862; p < 0.001). Also, an almost perfect convergence was found when we were evaluating the correlation of the reports of the two types of biopsy (t = 0.9959; p < 0.001). Conclusions: The results found a high concordance between histopathological reports by image-guided biopsy and excisional biopsy. [ABSTRACT FROM AUTHOR]
ISSN:16652118
DOI:10.24875/ARM.20000216