Trends in breast biopsies for abnormalities detected at screening mammography: a population-based study in the Netherlands

V. van Breest Smallenburg; J. Nederend; A. C. Voogd; J. W. W. Coebergh; M. van Beek; F. H. Jansen; W. J. Louwman; L. E. M. Duijm

doi:10.1038/bjc.2013.253

Trends in breast biopsies for abnormalities detected at screening mammography: a population-based study in the Netherlands

V. van Breest Smallenburg^*, J. Nederend, A. C. Voogd, J. W. W. Coebergh, M. van Beek, F. H. Jansen, W. J. Louwman, L. E. M. Duijm

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: Diagnostic surgical breast biopsies have several disadvantages, therefore, they should be used with hesitation. We determined time trends in types of breast biopsies for the workup of abnormalities detected at screening mammography. We also examined diagnostic delays. Methods: In a Dutch breast cancer screening region 6230 women were referred for an abnormal screening mammogram between 1 January 1997 and 1 January 2011. During two year follow-up clinical data, breast imaging-, biopsy-, surgery-and pathology-reports were collected of these women. Furthermore, breast cancers diagnosed >3 months after referral (delays) were examined, this included review of mammograms and pathology specimens to determine the cause of the delays. Results: In 41.1% (1997-1998) and in 44.8% (2009-2010) of referred women imaging was sufficient for making the diagnosis (P

Original language	English
Pages (from-to)	242-248
Journal	British Journal of Cancer
Volume	109
Issue number	1
DOIs	https://doi.org/10.1038/bjc.2013.253
Publication status	Published - 9 Jul 2013

Keywords

breast cancer screening
referral
diagnostic workup
breast biopsy
trends

Access to Document

10.1038/bjc.2013.253Licence: CC BY-NC-SA

Cite this

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title = "Trends in breast biopsies for abnormalities detected at screening mammography: a population-based study in the Netherlands",

abstract = "Background: Diagnostic surgical breast biopsies have several disadvantages, therefore, they should be used with hesitation. We determined time trends in types of breast biopsies for the workup of abnormalities detected at screening mammography. We also examined diagnostic delays. Methods: In a Dutch breast cancer screening region 6230 women were referred for an abnormal screening mammogram between 1 January 1997 and 1 January 2011. During two year follow-up clinical data, breast imaging-, biopsy-, surgery-and pathology-reports were collected of these women. Furthermore, breast cancers diagnosed >3 months after referral (delays) were examined, this included review of mammograms and pathology specimens to determine the cause of the delays. Results: In 41.1% (1997-1998) and in 44.8% (2009-2010) of referred women imaging was sufficient for making the diagnosis (P",

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author = "Smallenburg, {V. van Breest} and J. Nederend and Voogd, {A. C.} and Coebergh, {J. W. W.} and {van Beek}, M. and Jansen, {F. H.} and Louwman, {W. J.} and Duijm, {L. E. M.}",

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AU - Smallenburg, V. van Breest

AU - Nederend, J.

AU - Voogd, A. C.

AU - Coebergh, J. W. W.

AU - van Beek, M.

AU - Jansen, F. H.

AU - Louwman, W. J.

AU - Duijm, L. E. M.

PY - 2013/7/9

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N2 - Background: Diagnostic surgical breast biopsies have several disadvantages, therefore, they should be used with hesitation. We determined time trends in types of breast biopsies for the workup of abnormalities detected at screening mammography. We also examined diagnostic delays. Methods: In a Dutch breast cancer screening region 6230 women were referred for an abnormal screening mammogram between 1 January 1997 and 1 January 2011. During two year follow-up clinical data, breast imaging-, biopsy-, surgery-and pathology-reports were collected of these women. Furthermore, breast cancers diagnosed >3 months after referral (delays) were examined, this included review of mammograms and pathology specimens to determine the cause of the delays. Results: In 41.1% (1997-1998) and in 44.8% (2009-2010) of referred women imaging was sufficient for making the diagnosis (P

AB - Background: Diagnostic surgical breast biopsies have several disadvantages, therefore, they should be used with hesitation. We determined time trends in types of breast biopsies for the workup of abnormalities detected at screening mammography. We also examined diagnostic delays. Methods: In a Dutch breast cancer screening region 6230 women were referred for an abnormal screening mammogram between 1 January 1997 and 1 January 2011. During two year follow-up clinical data, breast imaging-, biopsy-, surgery-and pathology-reports were collected of these women. Furthermore, breast cancers diagnosed >3 months after referral (delays) were examined, this included review of mammograms and pathology specimens to determine the cause of the delays. Results: In 41.1% (1997-1998) and in 44.8% (2009-2010) of referred women imaging was sufficient for making the diagnosis (P

KW - breast cancer screening

KW - referral

KW - diagnostic workup

KW - breast biopsy

KW - trends

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