Evaluation of the effectiveness of stereotactic guided vacuum-assisted core breast biopsy

Abstract

          Retrospective study cross-sectional analytical study among patients undergoing stereotactic breast biopsy during April 1, 2022 to April 30, 2023 in a sample of 220 patients by collecting data according to research tools that include general information and information about various types of cancer. Data were analyzed using descriptive statistics. Presented with count, percentage, mean, and standard deviation values and inferential statistics with relationship test statistics, Chi-square test, Fisher'Exact test, OR., 95%CI., the statistical significance level was set at 0.05. The results of the study found that in all female groups in this study most had marital status, 120 cases (54.5%), average age 54.35 years (standard deviation 14.36 years), minimum age 20 years, maximum age 82 years. The size of the breast biopsy obtained from aspiration and suctioning of breast tissue. The average breast size is 2.58 mm. (standard deviation 0.69 mm.), the smallest size is 0.8 mm., and the largest size is 5.0 mm. The prevalence of benign tumors (Benign) is 185, calculated as 84.09 percent, and cancer. Malignant type (Malignant) number 35, accounting for 15.91 percent. Comparison of benign tumors (Benign) and malignant cancer (Malignant). When considering the reporting of breast radiographs (BIRADS), it was found that the majority were Benign. Level BI-RADS, 4B, amount 109 (49.5 %) and malignant level BI-RADS, 4B, number 17 (7.7 %) when considering the reporting of breast radiologist results. The pattern of distribution of suspicious microcalcifications found that there were mostly suspicious microcalcifications of Benign, Single groups in 108 cases (49.1%) and Malignant, Single groups in 23 cases (10.5%) when considering the reporting of results. Read breast radiologist Separating the morphology of small calculi, it was found that the majority were Benign,Punctate/Amorphous in 50 cases (22.7%) and Malignant, Punctate/ Amorphous in 10 cases (4.5%). When considering the type of breast tissue from the pathologist's report found that the majority were Benign, Other benign lesions in 59 cases (26.8%) and were Malignant, DCIS in 23 cases (10.5%).                                                                                                                                                                      Comparing the relationship between age and malignant cancer, there is a statistically significant relationship. The group aged 55 years and over has a risk of serious cancer that is 2.17 times higher than the group under 55 years of age (P=0.038, OR.=2.17, 95%CI.=1.03-4.57). There is a statistically significant relationship between marital status and malignant cancer. Where the single group the risk of serious cancer is 2.17 times higher than that of the unmarried group (P=0.002, OR.=3.03, 95%CI.=1.45-8.40) and the relationship with reporting the results of reading breast radiographs. BIRADS and serious cancer (malignant) have a statistically significant relationship, with the malignant (4B+4C) group having a risk of serious cancer 2.17 times higher than the malignant (4A) group (P<0.001, OR.=21.56, 95%CI.=11.38-40.79).