Acurácia diagnóstica da biópsia percutânea com agulha grossa orientada por estereotaxia nas lesões mamárias categoria BI-RADS® 4

Percutaneous breast biopsies

“…Until recently, the gold standard for evaluating non-palpable abnormalities found on imaging examinations was preoperative imaging-guided needle localization, followed by surgery. Nevertheless, studies in the literature show that, in some cases, the lesion was not removed during surgery, for a variety of reasons ( 1 , 2 ) . In 1990, Steve Parker published the first article comparing core biopsy and surgical biopsy, demonstrating that the former is a safe, reproducible procedure.…”

“…These techniques have been evaluated and compared. Studies correlating percutaneous biopsy and surgical histologic findings have taught us which percutaneous diagnoses are less reliable and warrant surgical excision and which are safe to follow ( 1 - 4 ) .…”

“…In various studies of breast lesions, percutaneous biopsy has been shown to have low false-negative rates. Although it is a safe procedure, it requires protocols to optimize the choice of method for different lesions; the correlation between imaging and histopathological diagnosis of benign and malignant lesions; and the follow-up of patients with benign lesions ( 1 , 5 ) .…”