Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy.

This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. M A N U S C R I P T A C C E P T E D

show abstract

“…11 more than 14 fragments [20]. These criteria were not predictive of the correct diagnosis in our series.…”

Section: A C C E P T E D Article In Presscontrasting

confidence: 68%

“…Lobular neoplasia, which is revealed by microcalcification in at least one-third of cases, is less frequent than ADH in biopsy and surgical series [15][16][17][18][19][20][21][22][23][24][25]. The behaviour of lobular neoplasia (LN) is less well documented than that of ADH.…”

mentioning

confidence: 99%

Histology after lumpectomy in women with epithelial atypia on stereotactic vacuum-assisted breast biopsy

Graesslin

Antoine

Chopier

et al. 2010

European Journal of Surgical Oncology (EJSO)

View full text Add to dashboard Cite

show abstract

“…Choice of biopsy device depended largely on the preference of the radiologist performing the biopsy, although the preferences of the physician and patient also affected this decision. The vacuum-assisted biopsy device was preferred for lesions where it may have been particularly beneficial [16][17][18], such as calcified lesions, intraductal lesions and solid nodules with irregular margins. Automated gun biopsy was preferred for multifocal and subareolar lesions.…”

Section: Ultrasound-guided Biopsymentioning

confidence: 99%

Scoring system for predicting malignancy in patients diagnosed with atypical ductal hyperplasia at ultrasound-guided core needle biopsy

Han

Lee

et al. 2007

Breast Cancer Res Treat

View full text Add to dashboard Cite

Background The aim of this study was to determine factors that predict under-evaluation of malignancy in patients diagnosed with atypical ductal hyperplasia (ADH) at ultrasound-guided core needle biopsy (CNB), and to develop a prediction algorithm for scoring the possibility of a diagnosis upgrade to malignancy based on clinical, radiological and pathological factors. Methods The study enrolled patients diagnosed with ADH at ultrasound-guided CNB who subsequently underwent surgical excision of the lesion. Multivariate analysis was used to identify relevant clinical, radiological and pathological factors that may predict malignancy. Results A total of 102 patients with ADH at CNB were identified. Of the 74 patients who underwent subsequent surgical excision, 34 (45.8%) were diagnosed with invasive or in situ malignant foci. Multivariate analysis revealed that age [50 years, microcalcification on mammography, size on imaging [15 mm and a palpable lesion were independent predictors of malignancy. Focal ADH was a negative predictor. A scoring system was developed based on logistic regression models and beta coefficients for each variable. The area under the ROC curve was 0.903 (95% CI: 0.82-0.94), and the negative predictive value was 100% for a score B3.5. Similar findings were observed for a validation dataset of 54 patients at other institutions. Conclusions A scoring system to predict malignancy in patients diagnosed with ADH at CNB was developed based on five factors: age, palpable lesion, microcalcification on mammography, size on imaging and focal ADH. This system was able to identify a subset of patients with lesions likely to be benign, indicating that imaging follow-up rather than surgical excision may be appropriate.

show abstract

“…Technical advances in percutaneous core needle biopsy, such as increasing needle diameter from 14-gauge to 11-gauge and adding a vacuum device, have allowed larger samples of tissue to be obtained (5,6), substantially improving the accuracy of diagnosis. Despite these improvements, the rate of underestimation for ADH has been reported as 10% to 26% for 11-gauge vacuum-assisted biopsy (VAB) (2,14,(21)(22)(23)(24)(25)(26)(27)(28). In this study, 11-gauge SVAB was associated with a lower rate of underestimation for ADH (20.6%), compared to USguided 14-gauge automated biopsy (41.7%) (P = 0.007).…”

Section: Discussionmentioning

confidence: 87%

Factors that impact the upgrading of atypical ductal hyperplasia

Gümüş

Mills²,

Gümüş³

et al. 2012

Diagn Interv Radiol

View full text Add to dashboard Cite

Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy.

Abstract: Stereotactic, 11-gauge, directional, vacuum-assisted biopsy resulted in successful calcification retrieval in 106 (95%) of 112 cases. Histologic underestimation was infrequent.

Cited by 261 publications

References 0 publications

Histology after lumpectomy in women with epithelial atypia on stereotactic vacuum-assisted breast biopsy

Histology after lumpectomy in women with epithelial atypia on stereotactic vacuum-assisted breast biopsy

Scoring system for predicting malignancy in patients diagnosed with atypical ductal hyperplasia at ultrasound-guided core needle biopsy

Factors that impact the upgrading of atypical ductal hyperplasia

Contact Info

Product

Resources

About