Stereotaktische Vakuumbiopsie mammographisch detektierter Läsionen - Erfolg, histologische Sicherheit, Patientenakzeptanz und BI-RADS™-korrelierte Indikationsoptimierung

Abstract

Vacuum-assisted breast biopsy is accurate, has a justifiable rate of histologic underestimation and is well accepted by patients. Patients with BI-RADS TM category 4 microcalcification benefit the most. Lesions of BI-RADS TM category 3 and BI-RADS TM category 5 should be biopsied only under special circumstances (family risk of breast cancer; assessment of lesions extension).

Histological underestimation of a 9-gauge stereotactic vacuum-assisted breast biopsy system compared with surgical excision at a tertiary hospital in South Africa

“…7 Siegmann et al found in their study population of 166 stereotactic biopsies using a mammotome system (Breast Care, Ethicon Endo-Surgery, Norderstedt, Germany) that the histology of a sufficient vacuum-assisted biopsy was underestimated in 15% of their study population when compared with histology at excision. 15 Salem et al reported an overall underestimation rate of 9.6% for high-risk lesions and a DCIS underestimation rate of 19.2% for a hand-held vacuum-assisted stereotactic biopsy device (Vacora vacuum-assisted biopsy system, Bard, Tempe, USA) in a study population of 288 stereotactic biopsies. 12 Of the 13 cases of DCIS on SVAB in our study, 8 were followed with surgical excision, of which A factor that became evident from the present study is that many patients were not followed up with open biopsy.…”