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Implementation of a Percutaneous Core Needle Biopsy Training Program: Results from the University of Michigan–Komfo Anokye Teaching Hospital Breast Cancer Research Partnership

  • Breast Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Purpose

To describe a training program in percutaneous core needle biopsy implemented in conjunction with a breast cancer research collaboration between the University of Michigan (UM) and the Komfo Anokye Teaching Hospital (KATH), Kumasi, Ghana.

Methods

In July 2007 a Ghana-based training program for performance of core needle biopsy was jointly coordinated by the UM and KATH principal investigators (L.N. and B.A.). This course required less than 1 week for implementation.

Results

Following the training course (July 2007 through August 2008), 82 core needle biopsies of breast masses were performed at KATH. Of these, 56 had tissue specimens available for review at UM for comparison with KATH primary pathology reports. Forty-six of the 56 UM-reviewed cases (82%) had a KATH diagnosis of breast cancer; UM pathology review was in agreement with the cancer diagnosis in all 46 cases (100%). Ten of the 56 UM-reviewed cases (18%) had a KATH diagnosis of benign fibroadenoma/fibrocystic breast tissue; UM review was concordant in all ten cases (100% concordance for benign lesions). For the remaining 26 procedures we were unable to retrieve either the KATH pathology report or tissue blocks for UM review.

Discussion

The design and implementation of appropriate diagnostic biopsy programs is important for delivery of high-quality, efficient breast cancer care in developing nations. This study demonstrates a successful 1-week training program in percutaneous core needle biopsy for a multidisciplinary group of physicians. Further work is needed for similar programs to accurately identify and classify breast cancer internationally.

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Acknowledgement

The authors gratefully acknowledge financial support from the University of Michigan Comprehensive Cancer Center, the Global REACH Program, and Susan G. Komen for the Cure, for making this training program and its evaluation possible.

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Authors and Affiliations

  1. Komfo Anoyke Teaching Hospital, Kumasi, Ghana

    Baffour Awuah MD, Anthony Nsiah-Asare MD & Francis Aitpillah MD

  2. University of Illinois, Chicago, IL, USA

    Iman K. Martin MPH

  3. University of Michigan, Ann Arbor, MI, USA

    Valerie Takyi MD, Celina Kleer MD & Lisa Newman MD, MPH

Authors
  1. Baffour Awuah MD
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  2. Iman K. Martin MPH
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  3. Valerie Takyi MD
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  4. Celina Kleer MD
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  5. Anthony Nsiah-Asare MD
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  6. Francis Aitpillah MD
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  7. Lisa Newman MD, MPH
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Corresponding author

Correspondence to Lisa Newman MD, MPH.

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Awuah, B., Martin, I.K., Takyi, V. et al. Implementation of a Percutaneous Core Needle Biopsy Training Program: Results from the University of Michigan–Komfo Anokye Teaching Hospital Breast Cancer Research Partnership. Ann Surg Oncol 18, 957–960 (2011). https://doi.org/10.1245/s10434-010-1422-4

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  • DOI: https://doi.org/10.1245/s10434-010-1422-4

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