The role of stereotactic 11G vacuum biopsy for clarification of BI-RADS™ IV findings in mammography

被引:12
作者
Diebold, T [1 ]
Jacobi, V
Krapfl, E
Von Minckwitz, G
Solbach, C
Ballenberger, S
Hochmuth, K
Balzer, JO
Fellbaum, M
Kaufmann, M
Vogl, TJ
机构
[1] Univ Klinikum Frankfurt, Inst Diagnost & Intervent Radiol, D-60590 Frankfurt, Germany
[2] Univ Klinikum Frankfurt, Klin Gynakol & Geburtshilfe, D-60590 Frankfurt, Germany
[3] Univ Klinikum Frankfurt, Senckenberg Inst Pathol, D-60590 Frankfurt, Germany
来源
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN | 2003年 / 175卷 / 04期
关键词
stereotactic breast biopsy; mammotome; microcalcifications; DCIS-underestimation; soft tissue lesions;
D O I
10.1055/s-2003-38444
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: To evaluate the potential of stereotactic vacuum breast biopsy in the histologic evaluation of suspicious mammographic findings (BI-RADS(TM) IV). Materials und Methods: In 221 patients with 227 probable mammographic lesions categorized as (BI-RADS(TM)-IV), stereotactic biopsies were performed with an 11 gauge vacuum-assisted biopsy device (Mammotome). The evaluation included the histology of the specimens obtained with the Mammotome or with surgery, the time for the biopsy, the amount of bleeding, number of rotations and procured specimens, the extent of the resection and the complications. Results: The biopsies were technically successful in 214 of the 227 probable mammographic lesions, with 176 lesions mostly resected and 34 lesions removed more than 50%. No representative tissue was obtained from 4 lesions. All biopsies were performed without any clinically relevant complications and terminated after adequate material was obtained (circle divide 28 specimens, 2.58 rotations). The mean time needed for performing the biopsy was 40.2 minutes. The histologic findings were DCIS (42 lesions), ADH (7 lesions), LCIS (3 lesions), ID-Ca (14 lesions, IL-Ca (3 lesions), and IDL-Ca (1 lesion). In 28 of 42 lesions with the initial DOS histology, the surgical histology was also DCIS (n=28) or no residual tumor (n=10). In 4 lesions with an initial DCIS-histology, the surgical histology was invasive ductal cancer (9.5%). The late follow-up examinations (up to 3 years) did not find any evidence of a false negative biopsy. Conclusion: Stereotactic vacuum breast biopsy ideally complements existing breast biopsy methods. The method is minimal invasive with a low rate of mostly minor complications.
引用
收藏
页码:489 / 494
页数:6
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