ANALYSIS OF MAMMOGRAPHICALLY OBVIOUS CARCINOMAS OF THE BREAST WITH BENIGN RESULTS UPON INITIAL BIOPSY

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  • 1 January 1981
    • journal article
    • research article
    • Vol. 153  (4) , 570-572
Abstract
Although benign lesions of the breast may, on occasion, be indistinguishable from carcinoma on mammography, the presence of a typical malignant tumor justifies a strong roentgenographic impression which should be nearly 100% accurate. During the past 3 yr, 435 carcinomas of the breast were evaluated by xeromammography prior to surgical excision, 370 of which presented as palpable lesions. In 6 patients, the initial biopsy of a palpable area yielded benign results, despite a roentgenographic report indicating the presence of a carcinoma. Repeat mammography after biopsy documented the persistence of the suspicious area, all of which were carcinoma upon re-excision. Roentgenographic reappraisal is imperative in circumstances in which the biopsy results do not corroborate the roentgenographic findings. Preoperative needle localization is a useful adjunctive measure to ensure that a palpable area corresponds to a mass visible on the mammogram.

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