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[A successful breast core needle biopsy program provides numerous advantages for patients, radiologists, pathologists, surgeons, biomedical research, and the healthcare system. In order to obtain optimal results, it is essential that multiple healthcare providers and disciplines closely communicate and fully cooperate. The complexity of the process from the detection of a lesion, to biopsy, to ultimate outcome creates many opportunities for error. This chapter is a comprehensive guide for best practices for core needle biopsies. The chapter begins with an explanation of how imaging modalities (mammography, ultrasound, and MRI) detect breast abnormalities and how these findings correlate with pathologic lesions. Types of breast needle biopsies and the resulting specimens are then discussed in conjunction with information necessary to determine radiologic/pathologic correlation by both the radiologist and the pathologist. Recommendations for specimen handling from the removal by the radiologist to the creation of the glass slides by the histotechnologist are included. These topics are followed by optimal practices for identifying, excising, and examining a lesion previously sampled by needle biopsy. Throughout the chapter, commonly seen artifacts and possible pitfalls are discussed and illustrated. The chapter concludes with a review of rare cancer recurrences in needle tracks.]
Published: Sep 17, 2016
Keywords: Breast core needle biopsies; Quality assurance; Best practices; Radiologic/pathologic correlation; Artifacts; Core needle biopsy recurrence; Correlation conference; Pitfalls; Specimen processing
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