| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1
Department of Radiology, Breast Imaging Section, Memorial Sloan-Kettering
Cancer Center, 1275 York Ave., New York, NY 10021.
2
Department of Surgery, the Breast Service, Memorial Sloan-Kettering Cancer
Center, New York, NY 10021.
3
Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY
10021.
OBJECTIVE. The purpose of this study was to evaluate percutaneous imaging-guided core biopsy in the assessment of selected palpable breast masses.
MATERIALS AND METHODS. Of 1388 consecutive breast lesions that had percutaneous imaging-guided core biopsy, 155 (11%) were palpable. Palpable masses referred for percutaneous imaging-guided core biopsy included lesions that were small, deep, mobile, vaguely palpable, or multiple. Biopsy guidance was sonography in 140 lesions (90%) and stereotaxis in 15 (10%). Surgical correlation or minimum of 2 years follow-up is available in 115 palpable masses in 107 women. Medical records, imaging studies, and histologic findings were reviewed.
RESULTS. Of 115 palpable breast masses, 98 (85%) were referred by surgeons to the radiology department for percutaneous imaging-guided core biopsy and 88 (77%) had percutaneous imaging-guided core biopsy on the day of initial evaluation at our institution. Percutaneous imaging-guided core biopsy spared additional diagnostic tissue sampling in 79 (74%) of 107 women, including 57 women with carcinoma and 22 women with benign findings. Percutaneous imaging-guided core biopsy did not spare additional tissue sampling in 28 women (26%), including 15 women in whom surgical biopsy was recommended on the basis of percutaneous biopsy findings and 13 women with benign (n = 7) or malignant (n = 6) percutaneous biopsy findings who chose to undergo diagnostic surgical biopsy.
CONCLUSION. Percutaneous imaging-guided core biopsy is useful in the evaluation of palpable breast masses that are small, deep, mobile, vaguely palpable, or multiple. In this study, percutaneous imaging-guided core biopsy spared additional diagnostic tissue sampling in 74% women with palpable breast masses.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  J. H. Youk, E.-K. Kim, M. J. Kim, and K. K. Oh Sonographically Guided 14-Gauge Core Needle Biopsy of Breast Masses: A Review of 2,420 Cases with Long-Term Follow-Up Am. J. Roentgenol., January 1, 2008; 190(1): 202 - 207. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Y. Kwak, E.-K. Kim, H.-L. Park, J.-Y. Kim, and K. K. Oh Application of the breast imaging reporting and data system final assessment system in sonography of palpable breast lesions and reconsideration of the modified triple test. J. Ultrasound Med., October 1, 2006; 25(10): 1255 - 1261. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. B. Mainiero, I. F. Gareen, C. E. Bird, W. Smith, C. Cobb, and B. Schepps Preferential Use of Sonographically Guided Biopsy to Minimize Patient Discomfort and Procedure Time in a Percutaneous Image-Guided Breast Biopsy Program J. Ultrasound Med., November 1, 2002; 21(11): 1221 - 1226. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Perez-Fuentes, I. R. Longobardi, V. F. Acosta, C. E. Marin, and L. Liberman Sonographically Guided Directional Vacuum-Assisted Breast Biopsy: Preliminary Experience in Venezuela Am. J. Roentgenol., December 1, 2001; 177(6): 1459 - 1463. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. R. Margolin, J. W. T. Leung, R. P. Jacobs, and S. R. Denny Percutaneous Imaging-Guided Core Breast Biopsy: 5 Years' Experience in a Community Hospital Am. J. Roentgenol., September 1, 2001; 177(3): 559 - 564. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Sklair-Levy, T. H. Samuels, C. Catzavelos, P. Hamilton, and R. Shumak Stromal Fibrosis of the Breast Am. J. Roentgenol., September 1, 2001; 177(3): 573 - 577. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
