The palpable breast nodule. A cost-effectiveness analysis of alternate diagnostic approaches
Open Access
- 1 September 1993
- Vol. 72 (5), 1642-1651
- https://doi.org/10.1002/1097-0142(19930901)72:5<1642::aid-cncr2820720525>3.0.co;2-8
Abstract
Background. Traditionally, open biopsy has been considered the optimal procedure for the diagnosis of breast nodules. Fine‐needle aspiration biopsy (FNAB) has been proposed as an alternate method for the diagnosis of many palpable breast lesions. Methods. The authors compared the diagnostic utility of open biopsy and FNAB using decision tree and cost‐effectiveness analyses. Results. When compared with two‐step excisional biopsy, FNAB achieved a savings of over $700 at the cost of 0.1% decrease in 10‐year overall survival. Conclusions. These data indicate FNAB to be a reasonable alternative to open biopsy for the diagnosis of palpable breast lesions in many patients.Keywords
This publication has 24 references indexed in Scilit:
- Cost-Effectiveness of Fine Needle Biopsy of the BreastAnnals of Surgery, 1986
- Leads from the MMWRPublished by American Medical Association (AMA) ,1985
- Fine Needle Aspiration Cytology in Lieu of Open Biopsy in Management of Primary Breast CancerAnnals of Surgery, 1984
- Needle aspiration of the breastCancer, 1984
- Fine-Needle Aspiration of Palpable Breast MassesArchives of Surgery, 1983
- A systematic approach to the evaluation and management of breast massesCancer, 1983
- ASPIRATION CYTOLOGY IN THE PREOPERATIVE MANAGEMENT OF BREAST CANCERThe Lancet, 1980
- Breast BiopsyAnnals of Surgery, 1980
- Breast BiopsyArchives of Surgery, 1978
- The Diagnostic Accuracy of Palpation and Fine-needle Biopsy and an Evaluation of their Combined Use in the Diagnosis of Breat LesionsAnnals of Surgery, 1975