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Keywords {🔍}

article, breast, google, scholar, pubmed, cancer, biopsy, receptor, core, needle, accuracy, diagnostic, cas, hormone, clin, assessment, status, specimens, surgical, receptors, metaanalysis, progesterone, cnb, studies, patients, estrogen, comparison, pathol, oncol, bossuyt, med, results, reviews, quality, carcinoma, test, privacy, cookies, content, data, research, search, zhang, access, preoperative, res, rutjes, reitsma, systematic, deeks,

Topics {✒️}

xianchun chen & jun jiang month download article/chapter estrogen-receptor-positive tumors large-core needle biopsy node-negative breast cancer molecular markers expression meta-analysis review published hormone receptor expression hormone receptor assays hormone receptor status databases including pubmed full article pdf large core biopsy needle-core biopsies privacy choices/manage cookies core needle biopsy breast core biopsies progesterone receptor results human breast carcinomas diagnostic core biopsy negative likelihood ratios diagnostic test accuracy hormone receptors van vroonhoven tj single study progesterone receptor assessment early breast cancer invasive breast cancer symptomatic breast cancer primary breast cancer hormonal receptor status core biopsy specimens preoperative core biopsy diagnostic accuracy studies military medical university global cancer statistics nonpalpable breast disease palpable breast tumors test accuracy data vacuum-assisted biopsies meta-analysis estimate her2-receptor status malignant breast lesions palpable breast lesions check access instant access jun jiang invasive breast carcinomas european economic area recent conference proceedings

Questions {❓}

• Al Sarakbi W, Salhab M, Thomas V, Mokbel K (2005) Is preoperative core biopsy accurate in determining the hormone receptor status in women with invasive breast cancer?
• Burge CN, Chang HR, Apple SK (2006) Do the histologic features and results of breast cancer biomarker studies differ between core biopsy and surgical excision specimens?

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         headline:Assessment accuracy of core needle biopsy for hormone receptors in breast cancer: a meta-analysis
         description:The concordance of hormone receptors (HR) status identified by core needle biopsy (CNB) compared with excisional biopsy (EB) has been widely reported, but results were extremely variable and underpowered. To derive a more precise estimation of assessment accuracy of CNB for HR in breast cancer, we conducted a meta-analysis of all eligible studies comparing concordance or disconcordance between CNB and EB for HR status. Eligible articles were identified by search of databases including PubMed, Web of Science, EMBASE, and Chinese Biomedical Literature database for the period up to November 2011, and the reference lists of identified studies, relevant reviews, meta-analyses, and abstracts from recent conference proceedings were reviewed as a augmented searching. Finally, a total of 21 articles involving 2,450 patients for estrogen receptor (ER) and 2,448 patients for progesterone receptor (PR) were included and analyzed in this analysis. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies checklist. The overall aggrement between CNB and EB were 92.8 % for ER (κ = 0.78) and 85.2 % for PR (κ = 0.66), indicating a good agreement in PR and a better result in ER. The pooled sensitivity and specificity were 97.3 % (95 % CI 96.0–98.2) and 82.0 % (95 % CI 68.2–90.6) for ER, and the corresponding values for PR were 92.3 % (95 % CI 88.2–95.1) and 76.5 % (95 % CI 64.6–85.3), respectively. The pooled positive likelihood ratios was 5.39 % (95 % CI 2.92–9.97) and the negative likelihood ratios was 0.03 % (95 % CI 0.02–0.05) for ER, the corresponding values for PR were 3.93 % (95 % CI 2.53–6.11) and 0.10 % (95 % CI 0.07–0.16), respectively. In summary, although a good agreement was observed between CNB and EB for both ER and PR, we still suggest that negative HR testing results should be interpreted with caution or repeated on EB.
         datePublished:2012-04-22T00:00:00Z
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            Estrogen receptor
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      headline:Assessment accuracy of core needle biopsy for hormone receptors in breast cancer: a meta-analysis
      description:The concordance of hormone receptors (HR) status identified by core needle biopsy (CNB) compared with excisional biopsy (EB) has been widely reported, but results were extremely variable and underpowered. To derive a more precise estimation of assessment accuracy of CNB for HR in breast cancer, we conducted a meta-analysis of all eligible studies comparing concordance or disconcordance between CNB and EB for HR status. Eligible articles were identified by search of databases including PubMed, Web of Science, EMBASE, and Chinese Biomedical Literature database for the period up to November 2011, and the reference lists of identified studies, relevant reviews, meta-analyses, and abstracts from recent conference proceedings were reviewed as a augmented searching. Finally, a total of 21 articles involving 2,450 patients for estrogen receptor (ER) and 2,448 patients for progesterone receptor (PR) were included and analyzed in this analysis. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies checklist. The overall aggrement between CNB and EB were 92.8 % for ER (κ = 0.78) and 85.2 % for PR (κ = 0.66), indicating a good agreement in PR and a better result in ER. The pooled sensitivity and specificity were 97.3 % (95 % CI 96.0–98.2) and 82.0 % (95 % CI 68.2–90.6) for ER, and the corresponding values for PR were 92.3 % (95 % CI 88.2–95.1) and 76.5 % (95 % CI 64.6–85.3), respectively. The pooled positive likelihood ratios was 5.39 % (95 % CI 2.92–9.97) and the negative likelihood ratios was 0.03 % (95 % CI 0.02–0.05) for ER, the corresponding values for PR were 3.93 % (95 % CI 2.53–6.11) and 0.10 % (95 % CI 0.07–0.16), respectively. In summary, although a good agreement was observed between CNB and EB for both ER and PR, we still suggest that negative HR testing results should be interpreted with caution or repeated on EB.
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