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Needle biopsy to establish diagnosis of cancer precedes surgical excision/resection

CBE ID
0221
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Percentage of patients presenting with AJCC Stage Group 0, I, II, or III disease, who undergo a needle biopsy to establish diagnosis of breast cancer.

        • 1.14 Numerator

          Patients who receive image or palpation-guided needle biopsy (core or FNA) for the diagnosis of breast cancer.

        • 1.15 Denominator

          Women with AJCC Stage 0, I, II, or II breast cancer undergoing surgery:
          • Women
          • Age >=18 at time of diagnosis
          • Primary tumors of the breast
          • Epithelial invasive malignancy only
          • Diagnosis and all or part of first course of treatment performed at the reporting facility

        • Exclusions

          Exclusions:
          Men; not a first or only cancer diagnosis; non-epithelial tumors; metastatic disease (AJCC Stage IV); phyllodes tumor histology (9020);
          Patient refused biopsy,
          Patient medically unable to hold position for image guided biopsy,
          Patient requires sub-arolar excision for nipple discharge,
          Lesion too superficial,
          Breast too small,
          Lesion inaccessible by needle biopsy,
          Cancer found in prophylactic mastectomy,
          Benign high risk lesion diagnosed by needle biopsy, requiring excisional biopsy
          Discordant biopsy results compared to suspicious imaging

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Cancer Project 2015-2016
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          American College of Surgeons
          Steward Organization POC Email