A comprehensive evaluation of the 8-gauge vacuum-assisted Mammotome® system for ultrasound-guided diagnostic biopsy and selective excision of breast lesions

被引：39

作者：

Povoski S.P. ^{[1
]}

Jimenez R.E. ^{[2
]}

机构：

[1] Department of Surgery, Arthur G. James Cancer Hospital, The Ohio State University, Columbus

[2] Department of Pathology, The Arthur G. James Cancer Hospital, The Ohio State University, Columbus

来源：

World Journal of Surgical Oncology | / 5卷 / 1期

关键词：

Breast Lesion; Breast Biopsy; Biopsy Procedure; Suspicious Breast Lesion; Core Acquisition;

D O I：

10.1186/1477-7819-5-83

中图分类号：

学科分类号：

摘要：

Background: Minimally invasive breast biopsy technology is now considered a standard of care for the diagnostic evaluation of suspicious breast lesions. The aim of the current study was to present a comprehensive evaluation of the 8-gauge vacuum-assisted Mammotome® system for ultrasound-guided diagnostic biopsy and selective excision of breast lesions. Methods: A retrospective analysis was conducted of a series of 304 consecutive 8-gauge Mammotome® procedures that were performed under ultrasound guidance by a single surgeon from March 2004 to December 2006. Multiple variables, including patient demographics, characteristics of the breast lesion (based on ultrasound and mammography), procedural and histopathology variables, and interval follow-up variables (based on ultrasound and mammography), were evaluated. Results: Among 304 procedures, 235 (77%) were performed withthe presumption of complete excision of the ultrasound lesion during Mammotome® core acquisition, while 69 (23%) were performed with only partial excision of the ultrasound lesion during Mammotome® core acquisition (diagnostic tissue sampling only). 100% of all ultrasound lesions were accurately diagnosed, demonstrating no apparent false-negative results among the 256 patients that were compliant with follow-up at a median interval follow-up duration of 11 months (range 1 to 37). Likewise, 89% of all appropriately selected ultrasound lesions were completely excised, as demonstrated on interval follow-up ultrasound at a median time of 6 months (range, 3 to 16). There were no independent predictors of successful complete excision of any given appropriately selected ultrasound lesion by the ultrasound-guided 8-gauge Mammotome® biopsy technique. Conclusion: The 8-gauge vacuum-assisted Mammotome® system is highly accurate for ultrasound-guided diagnostic biopsy of suspicious breast lesions and is highly successful for complete excision of appropriately selected presumed benign breast lesions. This particular technology should be routinely offered to all appropriately selected patients that are evaluated by physicians involved in breast-specific health care. © 2007 Povoski and Jimenez; licensee BioMed Central Ltd.

引用

共 40 条

[1]

Burak W.E., Agnese D.M., Povoski S.P., Advances in the surgical management of early stage invasive breast cancer, Curr Probl Surg, 41, pp. 877-936, (2004)

[2]

SEC Info: Quarterly Report of Biopsys Medical, Inc·Form 10-Q·For 9/30/96

[3]

PRNewswire: Johnson & Johnson and Biopsys Medical, Inc. Complete Merger

[4]

Burbank F., Parker S.H., Fogarty T.J., Stereotactic breast biopsy: Improved tissue harvesting with the Mammotome, Am Surg, 62, pp. 738-744, (1996)

[5]

Parker S.H., Dennis M.A., Stavros A.T., Johnson K.K., Ultrasound-Guided Mamtmeotomoy: A New Breast Biopsy Technique, J Diagn Med Sonography, 12, pp. 113-118, (1996)

[6]

Scheler P., Pollow B., Hahn M., Kuner R.P., Fischer A., Hoffmann G., Hand-held ultrasound-guided vacuum biopsy of mammary lesions-first experiences, Zentralbl Gynakol, 122, pp. 472-475, (2000)

[7]

Simon J.R., Kalbhen C.L., Cooper R.A., Flisak M.E., Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy: Initial results, Radiology, 215, pp. 694-697, (2000)

[8]

Fine R.E., Israel P.Z., Walker L.C., Corgan K.R., Greenwald L.V., Berenson J.E., Boyd B.A., Oliver M.K., McClure T., Elberfeld J., A prospective study of the removal rate of imaged breast lesions by an 11-gauge vacuum-assisted biopsy probe system, Am J Surg, 182, pp. 335-340, (2001)

[9]

Hung W.K., Lam H.S., Lau Y., Chan C.M., Yip A.W., Diagnostic accuracy of vacuum-assisted biopsy device for image-detected breast lesions, ANZ J Surg, 71, pp. 457-460, (2001)

[10]

Meloni G.B., Dessole S., Becchere M.P., Soro D., Capobianco G., Ambrosini G., Nardelli G.B., Canalis G.C., Ultrasound-guided mammotome vacuum biopsy for the diagnosis of impalpable breast lesions, Ultrasound Obstet Gyneco, 18, pp. 520-524, (2001)

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