Ultrasound-guided vacuum-assisted core biopsy in the diagnosis and treatment of focal lesions of the breast - own experience.

Abstract

IntroductionVacuum-assisted core biopsy (VACB) guided by ultrasound is a minimally invasive method used in diagnosis and treatment of breast focal lesions. Vacuum-assisted core biopsy is an interesting minimally invasive alternative to open surgical biopsy.AimTo assess the value of ultrasound-guided vacuum-assisted core biopsy in the diagnosis and treatment of breast focal lesions.Material and methodsIn the period 2009-2010, 397 ultrasound-guided vacuum-assisted core biopsies were performed. Mean age of the patients was 41.7 years (18-92 years), and size of the lesions ranged from 3 mm to 65 mm, mean size being 12 mm. All women with diagnosed atypical ductal hyperplasia or cancer were qualified for surgery. The patients with histopathologically benign lesions were under follow-up.ResultsSamples sufficient for histopathological examination were obtained from 394 cases (99.2%). Of all 397 lesions, 293 (73.7%) were diagnosed as benign, there were 6 (1.6%) cases of atypical ductal hyperplasia and 98 (24.7%) malignant lesions. Three hundred and sixty-nine lesions were below 15 mm in diameter, of which 339 (91.9%) were totally removed during the VACB.ConclusionsThe results obtained confirm high efficiency of ultrasound-guided VACB in the differential diagnosis of breast focal lesions, including impalpable ones. It is a safe method with a low complication rate. In the case of benign lesions with a diameter not exceeding 15 mm, it allows one to excise the whole lesion and is a very good alternative to an open surgical biopsy. Vacuum-assisted core biopsy should be a standard and the method of choice in diagnosing breast lesions.

Vacuum-assisted stereotactic biopsy for isolated BI-RADS 4 microcalcifications: evaluation with histopathology and midterm follow-up results

“…It is clear that, although NLSB is considered the "gold standard," it is imperfect. If VASB can approach a false-negative rate as low as 1%-3%, as observed in the most recent studies (33), this modality should potentially replace NLSB for the first-line histopathological diagnosis of non-palpable mammographic lesions.…”

Significance of Fine Needle Aspiration Cytology and Vacuum-Assisted Core Needle Biopsy for Small Breast Lesions

“…[15][16][17][18] Among lesions with ultrasonographyehistologic discordance, 21.4% are upgraded in the pathological diagnosis after VAB, according to Li et al 19 Furthermore, it has also been reported that VAB might be valuable for definitive diagnosis when pathological results with CNB are discordant with imaging findings. [19][20][21] Accordingly, the use of VAB is supported by many physicians, especially for small lesions.…”

Mondor's disease in a patient after a mammotome biopsy.

“…In recent years the vacuum-assisted core biopsy is increasingly common because it is an efficient and minimally invasive procedure to diagnose and treat focal lesions in the breast [ 12 ]. That is why Mondor's disease in patients who underwent this procedure may be observed more frequently.…”