Navigation Links
Study Finds Too Many Surgical Breast Biopsies Performed

SUNDAY, Feb. 20 (HealthDay News) -- Too often surgical breast biopsies, and not less invasive and safer needle biopsies, are being performed on women who have abnormal mammograms, a new study says.

The latest research, conducted in the state of Florida and reported online in the American Journal of Surgery, said that although the rate of surgical biopsies should hover around 10 percent, 30 percent of the breast biopsies studied between 2003 and 2008 entailed the more invasive procedure. That translates to more than 300,000 women a year having surgery they do not need, especially since 80 percent of breast biopsies are benign. And those Florida statistics likely mirror the rest of the country, the researchers added.

There is also cost to consider: The report estimated that $37.2 million in health care expenditures could be saved if needle biopsies were always the procedure of choice.

Senior study author Dr. Stephen R. Grobmyer told The New York Times that he and his colleagues kept seeing patients who had undergone the more invasive surgical biopsies when a needle biopsy should have been performed instead.

"After a while you keep seeing this, you say something's going on here," Grobmyer, director of the breast cancer diagnosis program at the University of Florida in Gainesville, told the newspaper.

Experts in the field noted that needle biopsies should almost always be the preferred procedure.

"This new study confirms that many breast disease lesions do not need to be removed by surgical biopsy. Needle biopsy has replaced surgical biopsy," said Dr. Richard Shapiro, director of surgical oncology operations at the NYU Cancer Institute in New York City. "The take-home message for women is that needle biopsy has surpassed surgical biopsy as the initial tool to diagnose breast cancer. The majority of women almost always have a needle biopsy before requiring the surgical removal of any lesion."

"Surgery is an essential part of the treatment for breast disease, but certainly surgical biopsy is not the first line of diagnosis or defense," Shapiro added. "This practice of using needle biopsy should have been changed many years ago. Needle biopsy should be the first option doctors turn to in order to diagnose and identify what a breast lesion is exactly before removal. Surgery is an effective tool for the removal of benign and malignant breast lesions or when a needle biopsy is inconclusive."

Dr. Deborah Axelrod, director of clinical breast surgery and community outreach at the NYU Cancer Institute, added: "This is an important study which shows overzealous excision of breast lesions where the diagnosis could be made through minimally invasive interventional methods. If they can be diagnosed without a trip to the operating room, then so much the better. You are saving a woman the anxiety of the OR experience, a larger scar, possibly anesthesia, expense and asking their family or friends to take time off to accompany them and take them home from the surgery."

"Additionally," she noted, "if you look at other countries, the rate of malignant and benign biopsies is different than in the United States, where we do many more surgeries to obtain a cancer diagnosis. Here, the rate is about two per 10 biopsies which are malignant compared to Sweden, where the rates are approximately over 50 percent."

More information

For more on breast biopsies, go to the American Cancer Society.

-- HealthDay staff

SOURCES: Richard Shapiro, M.D., associate professor, department of surgery, NYU Langone Medical Center, and director, surgical oncology operations, NYU Cancer Institute, New York City; Deborah Axelrod, M.D., associate professor, department of surgery, and director of clinical breast surgery and community outreach, NYU Cancer Institute, New York City; Feb. 8, 2011, American Journal of Surgery, online; The New York Times

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Despite Treatment, Employees with Depression Generate Higher Absentee Costs, According to Thomson Reuters Study
2. American Council on Exercise (ACE) Study Reveals Kettlebells Provide Powerful Workout in Short Amount of Time
3. TV drama can be more persuasive than news program, study finds
4. Study carried out into biological risks of eating reptiles
5. Neuroimaging study may pave way for effective Alzheimers treatments
6. Study finds racial gaps continue in heart disease awareness
7. Luth Researchs IndicatorEDG(TM) Study Finds Americans Hopes of Achieving Their Dreams Are Fading
8. First blinded study of venous insufficiency prevalence in MS shows promising results
9. Soothing infants with food focus of childhood obesity study
10. People with anxiety disorder less able to regulate response to negative emotions, study shows
11. American Heart Association Rapid Access Journal Report: Study Finds Racial Gaps Continue in Heart Disease Awareness, Low Knowledge of Heart Attack Warning Signs Among Women
Post Your Comments:
Related Image:
Study Finds Too Many Surgical Breast Biopsies Performed
(Date:11/30/2015)... ... November 30, 2015 , ... Olympic Gold Medalists and Celebrity ... brands across various categories through traditional and social media marketing campaigns and other ... of Gold Medal Moms who can connect with today’s most important consumer: mothers. ...
(Date:11/30/2015)... ... December 01, 2015 , ... The ... a 2015-2016 inductee into its VIP Woman of the Year Circle. She is ... leading networking organization exclusively for professional women, boasting 850,000 members and over 200 ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... (Meso Foundation) released information for caregivers and held two webinars on topics of ... on demand free of charge at . , With a loved ...
(Date:11/30/2015)... ... November 30, 2015 , ... MOSI recently added two state-of-the-art augmented reality (AR) ... the Jurassic to their collection of interactive exhibits within the Kids In Charge! building. ... allow guests to get closer than ever to a range of animals as they ...
(Date:11/30/2015)... VA (PRWEB) , ... November 30, 2015 , ... ... mesothelioma-affected community across the United States to access life-saving information provided ... Malignant Mesothelioma will consist of three individual conferences in three major cities: ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... , Nov. 30, 2015  QT Vascular Ltd., ... and together with its subsidiaries, TriReme Medical LLC and ... company engaged in the design, assembly and distribution of ... vascular disease, is pleased to announce that a three-judge ... Court of Appeals for the Federal Circuit ("Federal Circuit") ...
(Date:11/30/2015)... 2015   Royal Philips  (NYSE: PHG ... Radiology Solutions, a fully integrated, consultative approach to ... data-driven practice management approaches that combine imaging systems, ... improve care delivery and reduce costs. Making its ... North America Annual Meeting (RSNA) in ...
(Date:11/30/2015)... -- Nautilus Medical Inc. today announced worldwide availability of ... ). The release of MatrixRay to the entire medical ... North America) in Chicago - ... --> --> MatrixRay is the ... studies worldwide via a peer-to-peer exchange network of physicians ...
Breaking Medicine Technology: