Lateral Decubitus Positioning Stereotactic Vacuum-Assisted Breast Biopsy with True Lateral Mammography

Jung, Young-Dae; Bae, Young Tae; Lee, Jee Yeon; Seo, Hyung Il; Kim, Jee Yeon; Choo, Ki Seok

doi:10.4048/jbc.2011.14.1.64

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…The prone position, which is used in most institutions, is reliable and accurate but requires significant space and is relatively expensive. Some institutions prefer the sitting or decubitus position, but they can present problems due to the relatively high frequency of vasovagal reactions and patient motion ( 16 18 21 ). Digital breast tomosynthesis-guided biopsies are performed at some institutions using the lateral decubitus position, and a higher biopsy success rate in less procedure time was reported compared with prone S-VAB ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

“…US-VAB and S-VAB were performed using 8- or 11-gauge vacuum probes (Mammotome; Ethicon Endo-Surgery, Inc., Cincinnati, OH, USA). S-VAB was performed in the lateral decubitus position ( 16 ) with the breast lesion facing up (Digital Stereotaxy with Senographe DS Interventional; GE Healthcare). A microclip was inserted at the biopsy site after S-VAB only.…”

Section: Methodsmentioning

confidence: 99%

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Breast Microcalcifications: Diagnostic Outcomes According to Image-Guided Biopsy Method

et al. 2015

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ObjectiveTo evaluate the diagnostic outcomes of ultrasonography-guided core needle biopsy (US-CNB), US-guided vacuum-assisted biopsy (US-VAB), and stereotactic-guided vacuum-assisted biopsy (S-VAB) for diagnosing suspicious breast microcalcification.Materials and MethodsWe retrospectively reviewed 336 cases of suspicious breast microcalcification in patients who subsequently underwent image-guided biopsy. US-CNB was performed for US-visible microcalcifications associated with a mass (n = 28), US-VAB for US-visible microcalcifications without an associated mass (n = 59), and S-VAB for mammogram-only visible lesions (n = 249). Mammographic findings, biopsy failure rate, false-negative rate, and underestimation rate were analyzed. Histological diagnoses and the Breast Imaging Reporting and Data System (BI-RADS) categories were reported.ResultsBiopsy failure rates for US-CNB, US-VAB, and S-VAB were 7.1% (2/28), 0% (0/59), and 2.8% (7/249), respectively. Three false-negative cases were detected for US-CNB and two for S-VAB. The rates of biopsy-diagnosed ductal carcinoma in situ that were upgraded to invasive cancer at surgery were 41.7% (5/12), 12.9% (4/31), and 8.6% (3/35) for US-CNB, US-VAB, and S-VAB, respectively. Sonographically visible lesions were more likely to be malignant (66.2% [51/77] vs. 23.2% [46/198]; p < 0.001) or of higher BI-RADS category (61.0% [47/77] vs. 22.2% [44/198]; p < 0.001) than sonographically invisible lesions.ConclusionUltrasonography-guided vacuum-assisted biopsy is more accurate than US-CNB when suspicious microcalcifications are detected on US. Calcifications with malignant pathology are significantly more visible on US than benign lesions.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Breast Microcalcifications: Diagnostic Outcomes According to Image-Guided Biopsy Method

et al. 2015

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“…The microcalcification would be located at the point at which the two straight lines meet. A true lateral mammograph is sometimes helpful to accurately locate a microcalcification (16). If the approximate location of the microcalcification is obtained, some experts can identify the microcalcification even using US.…”

Section: Discussionmentioning

confidence: 99%

Non-stereotactic method involving combination of ultrasound-guided wire localization and vacuum-assisted breast biopsy for microcalcification

Lee

Park

Jung³

et al. 2016

Gland Surg.

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“…VABB is an accurate and useful method for diagnosing mammographically detected lesions including suspicious microcalcifications [ 6 , 10 , 11 ]. Compared to 14-gauge core needle biopsy (CNB), VABB has an advantage of lower underestimation rate because of the larger amount of calcification retrieval.…”

Section: Introductionmentioning

confidence: 99%

Absence of Residual Microcalcifications in Atypical Ductal Hyperplasia Diagnosed via Stereotactic Vacuum-Assisted Breast Biopsy: Is Surgical Excision Obviated?

2014

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PurposeThe purpose of our study was to evaluate the underestimation rate of atypical ductal hyperplasia (ADH) on vacuum-assisted breast biopsy (VABB), and to examine the correlation between residual microcalcifications and the underestimation rate of ADH.MethodsA retrospective study was performed on 27 women (mean age, 49.2±9.2 years) who underwent additional excision for ADH via VABB for microcalcifications observed by using mammography. The mammographic findings, histopathologic diagnosis of all VABB and surgical specimens, and association of malignancy with residual microcalcifications were evaluated. The underestimation rate of ADH was also calculated.ResultsOf the 27 women with microcalcifications, nine were upgraded to ductal carcinoma in situ (DCIS); thus, the underestimation rate was 33.3% (9/27). There was no difference in age (p=0.40) and extent of microcalcifications (p=0.10) when comparing benign and malignant cases. Six of 17 patients (35.3%) with remaining calcifications after VABB were upgraded to DCIS, and three of 10 patients (30%) with no residual calcifications after VABB were upgraded (p=1.00).ConclusionThe underestimation rate of ADH on VABB was 33.3%. Furthermore, 30% of patients with no remaining calcifications were upgraded to DCIS. Therefore, we conclude that all ADH cases diagnosed via VABB should be excised regardless of the presence of residual microcalcifications.

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Lateral Decubitus Positioning Stereotactic Vacuum-Assisted Breast Biopsy with True Lateral Mammography

Cited by 8 publications

References 15 publications

Breast Microcalcifications: Diagnostic Outcomes According to Image-Guided Biopsy Method

Breast Microcalcifications: Diagnostic Outcomes According to Image-Guided Biopsy Method

Non-stereotactic method involving combination of ultrasound-guided wire localization and vacuum-assisted breast biopsy for microcalcification

Absence of Residual Microcalcifications in Atypical Ductal Hyperplasia Diagnosed via Stereotactic Vacuum-Assisted Breast Biopsy: Is Surgical Excision Obviated?

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