Benign Breast Lesions: Minimally Invasive Vacuum-assisted Biopsy with 11-Gauge Needles—Patient Acceptance and Effect on Follow-up Imaging Findings

Huber, Sabine; Wagner, Monika; Medl, M.; Czembirek, H

doi:10.1148/radiol.2271011933

Cited by 42 publications

(38 citation statements)

References 18 publications

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“…Complications of this type have been reported, especially after stereotaxic VABB [25]. In contrast to the reports of other authors [26], we did not find that VABB interferes with subsequent mammographic or sonographic assessments of the breast. This represents an additional advantage of VABB over excisional biopsy, which can leave scars that are difficult to interpret during subsequent studies.…”

Section: Discussioncontrasting

confidence: 92%

Ultrasound-guided vacuum-assisted breast biopsy: Use at the European Institute of Oncology in 2010

Abbate

Cassano

Menna

et al. 2011

Journal of Ultrasound

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KEYWORDSBreast; Histology biopsy; Ultrasonography; Mammotome; Surgical biopsy.Abstract Vacuum-assisted breast biopsy (VABB), which plays a fundamental role in the preoperative assessment of microcalcifications, can also be used (with ultrasound guidance) to obtain histology samples of breast lesions that are visible on ultrasonography. It is particularly useful when the lesion diameter is less than 1 cm. This technique has been used in our institute since 1998, and in this report we analyze our experience with it in 2010. This analysis shows that VABB is a safe, effective procedure that can markedly reduce the need for surgical biopsy.Sommario La biopsia vacuum assistita che riveste già un ruolo fondamentale nell'analisi preoperatoria delle microcalcificazioni, viene utilizzata con successo anche con guida ecografica per la valutazione microistologica di lesioni mammarie eco visibili, soprattutto se di piccole dimensioni, cioè al di sotto del centimetro. Nel nostro istituto viene utilizzata ormai dal 1998. Riportiamo i dati dell'anno precedentemente trascorso. Secondo la nostra esperienza risulta essere una procedura molto sicura ed efficace per ridurre drasticamente le biopsie chirurgiche diagnostiche. ª

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Section: Discussioncontrasting

confidence: 92%

Ultrasound-guided vacuum-assisted breast biopsy: Use at the European Institute of Oncology in 2010

Abbate

Cassano

Menna

et al. 2011

Journal of Ultrasound

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“…The use of the stereotactic VABB technique has increased because it provides a minimally invasive, faster and less expensive method of sampling non-palpable abnormalities that are visible in mammograms [14,15]. What distinguishes the VABB technique from that of the core biopsy is its high sensitivity and specificity, as well as its ability to retrieve microcalcifications [16,17]. However, even though the use of VABB is very appealing, its underestimation rate appears to be its weak point.…”

Section: Discussionmentioning

confidence: 99%

Diagnosing Papillary Lesions Using Vacuum-Assisted Breast Biopsy: Should Conservative or Surgical Management Follow?

et al. 2008

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Background: This study evaluates the underestimation rate of papilloma lesions diagnosed with vacuum-assisted breast biopsy (VABB), taking into consideration the greater volume excised. Patients and Methods: 56 women with a diagnosis of a papilloma lesion after VABB (Mammotest; Fischer Imaging, Denver, CO, USA) were evaluated. At least 24 cores were excised in all cases (mean 74, range 24–96 cores) and a preoperative diagnosis was established. Subsequently, open surgery using hook-wire localization followed. A second, postoperative diagnosis was independently and blindly made. The association between the pathological types and Breast Imaging Report and Data System (BI-RADS) classification, as well as the discrepancy between preoperative and postoperative diagnoses, was evaluated. Results: The underestimation rate of papillary lesions was 3.6%. When the papillary lesions did not coexist preoperatively with any other precursor breast lesions, the underestimation rate was 0%. The underestimation rate did not differ with age, BI-RADS category or type of lesion. Conclusion: Conservative management of patients with a papillary lesion diagnosis may follow when the extended VABB protocol is adopted and a great tissue volume is excised. However, when diagnosing a coexisting papillary lesion with a precursor breast lesion, open surgery should follow, given the high probability of a postoperative cancer diagnosis.

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“…The device can be used by anyone who has been appropriately trained, 14 and this biopsy technique has high patient acceptance. 15 VAE of benign lesions has been approved by the National Institute for Health and Care Excellence. 16 At present, there is a pragmatic approach to the volume of the tissue to be excised.…”

Section: Diagnosis Of Indeterminate Lesionsmentioning

confidence: 99%

The B3 conundrum—the radiologists' perspective

Sharma¹,

Wilkinson

Pinder

2017

The British Journal of Radiology

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The management of B3 lesions is both controversial and complicated. There have been recent publications regarding how best to manage this heterogeneous group particularly in light of the Marmot Review and with the advent of vacuumassisted biopsy technique. It is recognized that B3 lesions on core biopsy can be upgraded to malignancy in up to onethird of cases, but this is predominantly to ductal carcinoma in situ or low-grade invasive tumours. The upgrade rate is mainly associated with B3 lesions with epithelial atypia. This review summarizes the current management and focuses on the proposed future management of these B3 lesions.

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Benign Breast Lesions: Minimally Invasive Vacuum-assisted Biopsy with 11-Gauge Needles—Patient Acceptance and Effect on Follow-up Imaging Findings

Abstract: Directional vacuum-assisted 11-gauge needle biopsy of the breast is well accepted by patients and rarely produces changes that may alter the mammographic or sonographic appearance of the breast at 6-month follow-up.

Cited by 42 publications

References 18 publications

Ultrasound-guided vacuum-assisted breast biopsy: Use at the European Institute of Oncology in 2010

Ultrasound-guided vacuum-assisted breast biopsy: Use at the European Institute of Oncology in 2010

Diagnosing Papillary Lesions Using Vacuum-Assisted Breast Biopsy: Should Conservative or Surgical Management Follow?

The B3 conundrum—the radiologists' perspective

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