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Sonographically Guided Directional Vacuum-Assisted Breast Biopsy Using a Handheld Device

Steve H. Parker1, Anita J. Klaus2, Patrick J. Mc Wey3, Kathy J. Schilling4, Tommy E. Cupples5, Nathalie Duchesne6, Mark A. Guenin7 and Jay K. Harness8

1 The Sally Jobe Breast Centre, 8200 E. Belleview Ave., Ste. 102, Greenwood Village, CO 80111.
2 Wellspring Breast Center, Community General Hospital, POB South, 4900 Broad Rd., Syracuse, NY 13215.
3 Van Dyke Haebler Center for Women's Imaging, 2025 E. Newport Ave., Milwaukee, WI 53211.
4 Women's Center Boca Raton at Community Hospital, 690 Meadows Rd., Boca Raton, FL 33486.
5 South Carolina Comprehensive Breast Center, One Richland Medical Park Dr. # 120, Columbia, SC 29203.
6 Hopital St. Sacrement, Clinique Radiologique Audet, 1000 Chemin Ste-Foy, Ste. 208, Quebec, P. Q. G1S 2L6 Canada.
7 Tristan Associates, 4518 Union Deposit Rd., Harrisburg, PA 17111.
8 University of California-Davis, and Highland Hospital, Surgery Department, 1411 E. 31st St., Oakland, CA 94602.



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  		Fig. 1. —Photograph of Mammotome (Ethicon Endo-Surgery, Cincinnati, OH) with handle in one hand and sonographic transducer in other hand.

 


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  		Fig. 2A. —29-year-old woman with palpable finding who underwent sonographically guided biopsy performed using handheld Mammotome (Ethicon Endo-Surgery, Cincinnati, OH). Mammogram shows 10.6-mm mass (arrows) in 4-o'clock position of left breast.

 


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  		Fig. 2B. —29-year-old woman with palpable finding who underwent sonographically guided biopsy performed using handheld Mammotome (Ethicon Endo-Surgery, Cincinnati, OH). Sonogram shows handheld Mammotome probe (arrows) positioned just posterior to lesion.

 


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  		Fig. 2C. —29-year-old woman with palpable finding who underwent sonographically guided biopsy performed using handheld Mammotome (Ethicon Endo-Surgery, Cincinnati, OH). Postbiopsy sonogram reveals no imaging evidence of lesion remaining. Final histology revealed benign fibrocystic change.

 

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