American Journal of Roentgenology, Vol 171, 1325-1330, Copyright © 1998 by American Roentgen Ray Society

ARTICLES

Percutaneous removal of benign mammographic lesions: comparison of automated large-core and directional vacuum-assisted stereotactic biopsy techniques

RJ Jackman, FA Marzoni Jr and KW Nowels
Radiology Department, Palo Alto Medical Clinic, CA 94301, USA.

OBJECTIVE: The purpose of our study was to evaluate how often histologically benign lesions were completely removed as shown by the initial mammogram after biopsy. We compared three percutaneous biopsy techniques. MATERIALS AND METHODS: Retrospective review was performed on 1206 consecutive impalpable breast lesions having percutaneous stereotactic biopsies done on a prone biopsy table using 14-gauge automated large-core needles (n = 721); 14-gauge directional vacuum- assisted probes (n = 192); and 11-gauge directional vacuum-assisted probes (n = 293). Lesions that were histologically benign and that did not have subsequent surgical excision had mammographic follow-up. The 667 initial mammograms after biopsy (advised to be done at 6 or 12 months and accomplished at 1-53 months [median, 7 months] after biopsy) were reviewed to see if the lesions were no longer apparent. RESULTS: The lesion was absent in 9% (40/422) of lesions for which 14-gauge large-core biopsy was used, 22% (21/95) of lesions for which 14-gauge vacuum-assisted biopsy was used, and 64% (96/150) of lesions for which 11-gauge vacuum-assisted biopsy was used (p < .0001). No mammographic pseudolesions were created by the biopsy. No clinically significant complications occurred. CONCLUSION: The lesion was more often completely removed with directional vacuum-assisted biopsy than with automated large-core biopsy and more often completely removed with 11- gauge probes than with 14-gauge probes.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				E. Y. Ko, Y.-A Bae, M.-J. Kim, K. S. Lee, Y. Lee, and L. S. Kim Factors Affecting the Efficacy of Ultrasound-Guided Vacuum-Assisted Percutaneous Excision for Removal of Benign Breast Lesions J. Ultrasound Med., January 1, 2008; 27(1): 65 - 73. [Abstract] [Full Text] [PDF]

				C. C. Riedl, G. Pfarl, M. Memarsadeghi, T. Wagner, F. Fitzal, M. Rudas, and T. H. Helbich Lesion Miss Rates and False-Negative Rates for 1115 Consecutive Cases of Stereotactically Guided Needle-localized Open Breast Biopsy with Long-term Follow-up Radiology, December 1, 2005; 237(3): 847 - 853. [Abstract] [Full Text] [PDF]

				R. L. Birdwell and R. J. Jackman Clip or Marker Migration 5-10 Weeks after Stereotactic 11-gauge Vacuum-assisted Breast Biopsy: Report of Two Cases Radiology, November 1, 2003; 229(2): 541 - 544. [Abstract] [Full Text] [PDF]

				S. Shousha Issues in the Interpretation of Breast Core Biopsies International Journal of Surgical Pathology, July 1, 2003; 11(3): 167 - 176. [Abstract] [PDF]

				D. E. March, B. F. Coughlin, R. B. Barham, R. A. Goulart, S. V. Klein, M. E. Bur, J. L. Frank, and G. Makari-Judson Breast Masses: Removal of All US Evidence during Biopsy by Using a Handheld Vacuum-assisted Device--Initial Experience Radiology, May 1, 2003; 227(2): 549 - 555. [Abstract] [Full Text] [PDF]

				S. Huber, M. Wagner, M. Medl, and H. Czembirek Benign Breast Lesions: Minimally Invasive Vacuum-assisted Biopsy with 11-Gauge Needles—Patient Acceptance and Effect on Follow-up Imaging Findings Radiology, March 1, 2003; 226(3): 783 - 790. [Abstract] [Full Text] [PDF]

				R. J. Brenner, R. J. Jackman, S. H. Parker, W. P. Evans III, L. Philpotts, B. M. Deutch, M. C. Lechner, D. Lehrer, P. Sylvan, R. Hunt, et al. Percutaneous Core Needle Biopsy of Radial Scars of the Breast: When Is Excision Necessary? Am. J. Roentgenol., November 1, 2002; 179(5): 1179 - 1184. [Abstract] [Full Text] [PDF]

				L. Liberman, J. B. Kaplan, E. A. Morris, A. F. Abramson, J. H. Menell, and D. D. Dershaw To Excise or To Sample the Mammographic Target: What Is the Goal of Stereotactic II-Gauge Vacuum-Assisted Breast Biopsy? Am. J. Roentgenol., September 1, 2002; 179(3): 679 - 683. [Abstract] [Full Text] [PDF]

				P. Wunderbaldinger, G. Wolf, K. Turetschek, and T. H. Helbich Comparison of Sitting Versus Prone Position for Stereotactic Large-Core Breast Biopsy in Surgically Proven Lesions Am. J. Roentgenol., May 1, 2002; 178(5): 1221 - 1225. [Abstract] [Full Text] [PDF]

				D. Georgian-Smith, C. D'Orsi, E. Morris, C. F. Clark Jr., E. Liberty, and C. D. Lehman Stereotactic Biopsy of the Breast Using an Upright Unit, a Vacuum-Suction Needle, and a Lateral Arm-Support System Am. J. Roentgenol., April 1, 2002; 178(4): 1017 - 1024. [Abstract] [Full Text] [PDF]

				R. F. Brem, J. M. Schoonjans, S. N. Goodman, A. Nolten, F. B. Askin, and O. M. B. Gatewood Nonpalpable Breast Cancer: Percutaneous Diagnosis with 11- and 8-gauge Stereotactic Vacuum-assisted Biopsy Devices Radiology, June 1, 2001; 219(3): 793 - 796. [Abstract] [Full Text] [PDF]

				R. J. Jackman, F. Burbank, S. H. Parker, W. P. Evans III, M. C. Lechner, T. R. Richardson, A. A. Smid, H. B. Borofsky, C. H. Lee, H. M. Goldstein, et al. Stereotactic Breast Biopsy of Nonpalpable Lesions: Determinants of Ductal Carcinoma in Situ Underestimation Rates Radiology, February 1, 2001; 218(2): 497 - 502. [Abstract] [Full Text]

				L. Liberman, L. A. Ernberg, A. Heerdt, M. F. Zakowski, E. A. Morris, L. R. LaTrenta, A. F. Abramson, and D. D. Dershaw Palpable Breast Masses: Is There a Role for Percutaneous Imaging-Guided Core Biopsy? Am. J. Roentgenol., September 1, 2000; 175(3): 779 - 787. [Abstract] [Full Text] [PDF]

				M. Guenin, C. H. Lee, L. E. Philpotts, L. J. Horvath, and I. Tocino The Low False-Negative Rate for Stereotactic Breast Biopsy Dr Lee and colleagues respond: Radiology, August 1, 2000; 216(2): 609 - 610. [Full Text]

				L. Liberman Percutaneous Imaging-Guided Core Breast Biopsy: State of the Art at the Millennium Am. J. Roentgenol., May 1, 2000; 174(5): 1191 - 1199. [Full Text] [PDF]

				R. L. Lamm and R. J. Jackman Mammographic Abnormalities Caused by Percutaneous Stereotactic Biopsy of Histologically Benign Lesions Evident on Follow-Up Mammograms Am. J. Roentgenol., March 1, 2000; 174(3): 753 - 756. [Abstract] [Full Text] [PDF]

				C. H. Lee, L. E. Philpotts, L. J. Horvath, and I. Tocino Follow-up of Breast Lesions Diagnosed as Benign with Stereotactic Core-Needle Biopsy: Frequency of Mammographic Change and False-Negative Rate Radiology, July 1, 1999; 212(1): 189 - 194. [Abstract] [Full Text]

				R. J. Jackman and R. L. Lamm Stereotactic Histologic Biopsy in Breasts with Implants Radiology, January 1, 2002; 222(1): 157 - 164. [Abstract] [Full Text] [PDF]