Finnålsaspirationscytologi ved mammografiscreening

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Finnålsaspirationscytologi ved mammografiscreening. / Engvad, Birte; Laenkholm, Anne-Vibeke; Schwartz, Walter; Bak, Martin.

In: Ugeskrift for Laeger, Vol. 171, No. 34, 17.08.2009, p. 2379-82.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Engvad, B, Laenkholm, A-V, Schwartz, W & Bak, M 2009, 'Finnålsaspirationscytologi ved mammografiscreening', Ugeskrift for Laeger, vol. 171, no. 34, pp. 2379-82.

APA

Engvad, B., Laenkholm, A-V., Schwartz, W., & Bak, M. (2009). Finnålsaspirationscytologi ved mammografiscreening. Ugeskrift for Laeger, 171(34), 2379-82.

Vancouver

Engvad B, Laenkholm A-V, Schwartz W, Bak M. Finnålsaspirationscytologi ved mammografiscreening. Ugeskrift for Laeger. 2009 Aug 17;171(34):2379-82.

Author

Engvad, Birte ; Laenkholm, Anne-Vibeke ; Schwartz, Walter ; Bak, Martin. / Finnålsaspirationscytologi ved mammografiscreening. In: Ugeskrift for Laeger. 2009 ; Vol. 171, No. 34. pp. 2379-82.

Bibtex

@article{7674f9df204c486587936223718e2fd6,
title = "Finn{\aa}lsaspirationscytologi ved mammografiscreening",
abstract = "INTRODUCTION: In the year 2000 a quality assurance programme for the preoperative breast diagnostics was introduced in Denmark. The programme was based on the {"}European guidelines for quality assurance in breast cancer screening and diagnosis{"} where - among other measures - five cytological diagnostic classes were introduced. The aim of this study was to evaluate the quality assurance programme in a screening population to determine whether fine needle aspiration cytology (FNAC) as first choice remains a useful tool in the preoperative diagnostics, or if needle core biopsy should be the first-choice treatment.MATERIAL AND METHODS: 767 women had FNAC performed from a total of 783 lesions at the Mammography Clinic, University Hospital Odense. All FNACs were compared with the final histology diagnosis. Nine statistical parameters were calculated according to the European guidelines.RESULTS: A total of 66% of the 783 FNACs had a malignant cytology diagnosis, which in 99% of the cases turned out to be the correct diagnosis. Four lesions were false positives all of which represented benign proliferative breast diseases. The surgical procedures in these cases were either excisional biopsy or lumpectomy. The values of eight of the nine mutually dependent statistical parameters of quality scored within the recommended threshold values. Specificity was the only parameter that fell outside the recommended threshold values.CONCLUSION: Although specificity in our study is lower than recommended, we find that the use of FNAC as first-choice in triple diagnostics is a useful tool.",
keywords = "Biopsy, Fine-Needle/standards, Breast Neoplasms/diagnosis, False Negative Reactions, False Positive Reactions, Female, Humans, Mammography/standards, Mass Screening/standards, Quality Assurance, Health Care, Sensitivity and Specificity",
author = "Birte Engvad and Anne-Vibeke Laenkholm and Walter Schwartz and Martin Bak",
year = "2009",
month = aug,
day = "17",
language = "Dansk",
volume = "171",
pages = "2379--82",
journal = "Ugeskrift for Laeger",
issn = "0041-5782",
publisher = "Almindelige Danske Laegeforening",
number = "34",

}

RIS

TY - JOUR

T1 - Finnålsaspirationscytologi ved mammografiscreening

AU - Engvad, Birte

AU - Laenkholm, Anne-Vibeke

AU - Schwartz, Walter

AU - Bak, Martin

PY - 2009/8/17

Y1 - 2009/8/17

N2 - INTRODUCTION: In the year 2000 a quality assurance programme for the preoperative breast diagnostics was introduced in Denmark. The programme was based on the "European guidelines for quality assurance in breast cancer screening and diagnosis" where - among other measures - five cytological diagnostic classes were introduced. The aim of this study was to evaluate the quality assurance programme in a screening population to determine whether fine needle aspiration cytology (FNAC) as first choice remains a useful tool in the preoperative diagnostics, or if needle core biopsy should be the first-choice treatment.MATERIAL AND METHODS: 767 women had FNAC performed from a total of 783 lesions at the Mammography Clinic, University Hospital Odense. All FNACs were compared with the final histology diagnosis. Nine statistical parameters were calculated according to the European guidelines.RESULTS: A total of 66% of the 783 FNACs had a malignant cytology diagnosis, which in 99% of the cases turned out to be the correct diagnosis. Four lesions were false positives all of which represented benign proliferative breast diseases. The surgical procedures in these cases were either excisional biopsy or lumpectomy. The values of eight of the nine mutually dependent statistical parameters of quality scored within the recommended threshold values. Specificity was the only parameter that fell outside the recommended threshold values.CONCLUSION: Although specificity in our study is lower than recommended, we find that the use of FNAC as first-choice in triple diagnostics is a useful tool.

AB - INTRODUCTION: In the year 2000 a quality assurance programme for the preoperative breast diagnostics was introduced in Denmark. The programme was based on the "European guidelines for quality assurance in breast cancer screening and diagnosis" where - among other measures - five cytological diagnostic classes were introduced. The aim of this study was to evaluate the quality assurance programme in a screening population to determine whether fine needle aspiration cytology (FNAC) as first choice remains a useful tool in the preoperative diagnostics, or if needle core biopsy should be the first-choice treatment.MATERIAL AND METHODS: 767 women had FNAC performed from a total of 783 lesions at the Mammography Clinic, University Hospital Odense. All FNACs were compared with the final histology diagnosis. Nine statistical parameters were calculated according to the European guidelines.RESULTS: A total of 66% of the 783 FNACs had a malignant cytology diagnosis, which in 99% of the cases turned out to be the correct diagnosis. Four lesions were false positives all of which represented benign proliferative breast diseases. The surgical procedures in these cases were either excisional biopsy or lumpectomy. The values of eight of the nine mutually dependent statistical parameters of quality scored within the recommended threshold values. Specificity was the only parameter that fell outside the recommended threshold values.CONCLUSION: Although specificity in our study is lower than recommended, we find that the use of FNAC as first-choice in triple diagnostics is a useful tool.

KW - Biopsy, Fine-Needle/standards

KW - Breast Neoplasms/diagnosis

KW - False Negative Reactions

KW - False Positive Reactions

KW - Female

KW - Humans

KW - Mammography/standards

KW - Mass Screening/standards

KW - Quality Assurance, Health Care

KW - Sensitivity and Specificity

M3 - Tidsskriftartikel

C2 - 19732519

VL - 171

SP - 2379

EP - 2382

JO - Ugeskrift for Laeger

JF - Ugeskrift for Laeger

SN - 0041-5782

IS - 34

ER -

ID: 259932426