Stereotactic directional vacuum-assisted breast biopsy using lateral approach

Nakamura, Yuko; Urashima, Masaki; Matsuura, Akiko; Nishihara, Reisuke; Itoh, Atsushi; Kagemoto, Masayuki; Higaki, Kenji

doi:10.1007/s12282-009-0162-4

Cited by 14 publications

(16 citation statements)

References 11 publications

(10 reference statements)

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“…1A), and the lateral approach involves inserting the needle parallel to the compression paddle (Fig. 1B) (5, 7). In our study, the mean breast thickness for which stereotactic biopsy with a vertical approach could be performed was 4.0 ± 1.2 cm, whereas the lateral approach could be performed in breasts with a mean thickness of 2.7 ± 1.0 cm.…”

Section: Discussionmentioning

confidence: 99%

“…This difference was statistically significant ( p < 0.0001); thus, we found that the lateral approach could be performed on thinner breast tissues. Recent studies have also reported that the lateral approach could be performed on thinner breasts than the vertical approach (5, 7, 17). In one such study, the minimal breast thickness for which the lateral approach could be performed was 1 cm (5).…”

Section: Discussionmentioning

confidence: 99%

“…In the lateral approach, the needle is inserted parallel to the compression paddle, regardless of whether the underlying view is craniocaudal, mediolateral, or lateromedial (Fig. 1B) (5, 7). …”

Section: Methodsmentioning

confidence: 99%

“…In addition, the prone position allows an approach from all directions, including vertical and lateral approaches. Studies analyzing the utility of stereotactic breast biopsies in Asian women are scarce, and in the few published studies, only cases using the add-on stereotactic method (5) rather than the prone position have been examined, even in procedures involving core needle biopsies (6). We know of no prior articles in which the utility of prone stereotactic vacuum-assisted breast biopsies using a lateral approach has been evaluated.…”

Section: Introductionmentioning

confidence: 99%

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The Clinical Utility of a Adding Lateral Approach to Conventional Vertical Approach for Prone Stereotactic Vacuum-Assisted Breast Biopsy

et al. 2013

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ObjectiveThe purpose of this study is to evaluate the clinical utility of adding lateral approach to conventional vertical approach for prone stereotactic vacuum-assisted breast biopsies.Materials and MethodsFrom April 2010 to May 2012, 130 vacuum-assisted stereotactic biopsies were attempted in 127 patients. While a vertical approach was preferred, a lateral approach was used if the vertical approach failed. The success rate of biopsies utilizing only a vertical approach was compared with that using both vertical and lateral approaches and the breast thickness for both procedures was measured and compared with that for vertical approach. In addition, pathology results were evaluated and the causes of the failed biopsies were analyzed.ResultsOf the 130 cases, 127 biopsies were performed and 3 biopsies failed. The success rate of the vertical approach was 83.8% (109/130); however, when the lateral approach was also used, the success rate increased to 97.7% (127/130) (p = 0.0004). The mean breast thickness was 2.7 ± 1 cm for the lateral approach and 4 ± 1.2 cm for the vertical approach (p < 0.0001). The histopathologic results in 76 (59.8%) of the biopsies were benign, 23 (18.1%) were high-risk lesions, and 28 (22.0%) were malignant. The causes of biopsy failure were thin breasts (n = 2) and undetected difficult lesion location (n = 1).ConclusionThe addition of lateral approach to conventional vertical approach in prone stereotactic vacuum-assisted breast biopsy improved the success rate of stereotactic biopsy, especially in patients with thin breasts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Clinical Utility of a Adding Lateral Approach to Conventional Vertical Approach for Prone Stereotactic Vacuum-Assisted Breast Biopsy

et al. 2013

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“…Vasovagal episodes and patient discomfort have been reported. 11 Additionally, there can be logistical difficulties with NL because coordination between surgeon and radiologist is necessary for optimal outcomes.…”

Section: Discussionmentioning

confidence: 99%

Effect of Introducing Hematoma Ultrasound-Guided Lumpectomy in a Surgical Practice

Larrieux

Cupp

Liao

et al. 2012

Journal of the American College of Surgeons

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BACKGROUND Preoperative needle localization (NL) is the gold standard for lumpectomy of nonpalpable breast cancer. Hematoma ultrasound-guided (HUG) lumpectomy can offer several advantages. The purpose of this study was to compare the use of HUG with NL lumpectomy in a single surgical practice. STUDY DESIGN Patients with nonpalpable lesions who underwent NL or HUG lumpectomy from January 2007 to December 2009 by a single surgeon were identified from a breast surgery database. Ease of scheduling, volume excised, re-excision rates, operating room time, and health care charges were the main outcomes variables. Univariate and multivariate analyses were performed to compare the 2 groups. RESULTS Lumpectomy was performed in 110 patients, 55 underwent HUG and 55 underwent NL. Hematoma ultrasound-guided lumpectomy was associated with a nearly 3-fold increase in the odds ratio of additional tissue being submitted to pathology (p = 0.039), but neither the total amount of breast tissue removed, nor the need for second procedure were statistically different between the 2 groups. Duration of the surgical procedure did not vary between the 2 groups; however, the time from biopsy to surgery was shorter for HUG by an expected 9.7 days (p = 0.019), implying greater ease of scheduling. Mean charges averaged $250 less for HUG than for NL, but this difference was not statistically significant. CONCLUSIONS Hematoma ultrasound-guided is equivalent to NL with regard to volume of tissue excised, need for operative re-excision, and operating room time. Adoption of HUG in our practice allowed for more timely surgical care.

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Stereotactic Guided Breast Interventions

Bernardi

Sabatino²

2022

Breast Imaging

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Stereotactic directional vacuum-assisted breast biopsy using lateral approach

Cited by 14 publications

References 11 publications

The Clinical Utility of a Adding Lateral Approach to Conventional Vertical Approach for Prone Stereotactic Vacuum-Assisted Breast Biopsy

The Clinical Utility of a Adding Lateral Approach to Conventional Vertical Approach for Prone Stereotactic Vacuum-Assisted Breast Biopsy

Effect of Introducing Hematoma Ultrasound-Guided Lumpectomy in a Surgical Practice

Stereotactic Guided Breast Interventions

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