Interdisciplinary consensus on the use and technique of vacuum-assisted stereotactic breast biopsy

被引:52
作者
Heywang-Köbrunner, SH
Schreer, I
Decker, T
Böcker, W
机构
[1] Univ Halle Wittenberg, D-06097 Halle Saale, Germany
[2] Univ Clin Kiel, Breast Ctr, D-24105 Kiel, Germany
[3] HELIOS Klinikum Berlin Buch, Inst Pathol, Breast Ctr, D-13122 Berlin, Germany
[4] Gerhard Domagk Inst Pathol, D-48149 Munster, Germany
关键词
breast biopsy; stereotaxy; quality assurance; histopathology;
D O I
10.1016/S0720-048X(02)00196-1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: Quality assurance of stereotactic vacuum-assisted breast biopsy (VB). Method: A consensus was achieved based on the existing literature and the experience of VB users (Ethicon Endosurgery, Norderstedt). Results: The imaging work-up must be completed according to existing standards before an indication for stereotactic VB is established. Indications include microcalcifications and small non-palpable masses; for the time being lesions very close to the skin and architectural distortions (radial scar) are considered less suitable. Acquisition of > 20 cores (11 Gauge) should be routinely attempted (goals: as complete a removal of small lesions as possible, thereby increasing diagnostic confidence and reducing so-called 'underestimates'). The pre/post-fire and post-biopsy stereotactic images and a post-biopsy orthogonal mammogram must be documented. All cases with no or uncertain histopathological correlation require discussion in a regular interdisciplinary conference and a documented consensus concerning further work-up or therapy. Standardised documentation of the primary findings and follow-up mammography after approximately 6 months is requested. Conclusion: This consensus includes protocols for the establishment of an indication, performance indicators, interdisciplinary interpretation and therapeutic recommendation, documentation and follow-up. It does not replace official recommendations for percutaneous biopsy. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:232 / 236
页数:5
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