HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Perez-Fuentes, J. A. Articles by Liberman, L. Search for Related Content PubMed PubMed Citation Articles by Perez-Fuentes, J. A. Articles by Liberman, L. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

Sonographically Guided Directional Vacuum-Assisted Breast Biopsy

Preliminary Experience in Venezuela

¹ Ceclines, Av. Libertador, Edificio Siclar, PB, Urb. La Florida 1050, Caracas, Venezuela.
² Breast Imaging Section, Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY 10021.

OBJECTIVE. The purpose of this study was to evaluate the use of sonographically guided directional vacuum-assisted biopsy in the histologic diagnosis of breast lesions.

MATERIALS AND METHODS. Eighty-eight lesions in 83 women underwent sonographically guided 11-gauge directional vacuum-assisted breast biopsy during a 26-month period. Biopsies were performed using high-resolution sonography equipment with a 7.5-MHz transducer, obtaining a median of 17 specimens per lesion. Imaging studies, medical records, and histologic findings were reviewed.

RESULTS. Median patient age was 48 years (range, 25-78 years). Median lesion size was 1.2 cm (range, 0.4-2.5 cm). Twenty-four (27.3%) of 88 lesions were palpable. The median time required to perform biopsy was 17 min (range, 10-40 min). Complete removal of the lesion seen at sonography occurred in 78 (88.6%) of 88 lesions and was significantly more frequent in lesions measuring 1.5 cm or less than in larger lesions (68/71 = 95.8% vs 10/17 = 58.8%,p < 0.0003). A surgical procedure was spared in 79 (95.2%) of 83 women. In 36 lesions with imaging and clinical follow-up after sonographically guided biopsy with benign findings (range, 4-24 months; median, 11.3 months), we found no evidence of cancer or scarring in the breast.

CONCLUSION. In our small series, sonographically guided directional vacuum-assisted biopsy was a fast and accurate method for breast diagnosis. This technique resulted in complete removal of 95.8% of lesions shown at sonography measuring 1.5 cm or less and spared a surgical procedure in 95.2% of women. Further work is necessary to refine indications, evaluate cost-effectiveness, and assess long-term outcome.

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				J.-M. Lee, J. B. Kaplan, M. P. Murray, and L. Liberman Complete Excision of the MRI Target Lesion at MRI-Guided Vacuum-Assisted Biopsy of Breast Cancer Am. J. Roentgenol., October 1, 2008; 191(4): 1198 - 1202. [Abstract] [Full Text] [PDF]

				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. H. Youk, E.-K. Kim, M. J. Kim, J. Y. Lee, and K. K. Oh Missed Breast Cancers at US-guided Core Needle Biopsy: How to Reduce Them RadioGraphics, January 1, 2007; 27(1): 79 - 94. [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]

				L. Liberman, N. Bracero, E. Morris, C. Thornton, and D. D. Dershaw MRI-Guided 9-Gauge Vacuum-Assisted Breast Biopsy: Initial Clinical Experience Am. J. Roentgenol., July 1, 2005; 185(1): 183 - 193. [Abstract] [Full Text] [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]

				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]