Ultrasound-Guided Core Biopsy

2018 ◽  
Author(s):  
Philip A. Di Carlo
Keyword(s):  
Core Biopsy ◽  
Breast Biopsy ◽  
Excisional Biopsy ◽  
Ultrasound Guided ◽  
Needle Localization ◽  
Image Guided ◽  
Guided Biopsy ◽  
Multiple Imaging ◽  
Key Points

Prior to 1993, when ultrasound-guided core breast biopsy was first described by Parker and colleagues, surgery following image-guided needle localization was necessary to obtain a histological diagnosis of breast lesions. But there are many financial, practical, and clinical advantages of image-guided core biopsy over surgical excisional biopsy. There are also many advantages to ultrasound-guided biopsy over stereotactic- or MRI-guided biopsy, detailed in this chapter. Ultrasound is now usually the modality of choice by which to perform core biopsies if the lesion is visualized by multiple imaging modalities. This chapter, appearing in the section on interventions and surgical changes, reviews the key points of performing ultrasound-guided core biopsy. Topics discussed include protocols for both spring-loaded and vacuum-assisted devices; pre-procedure and post-procedure management, and imaging follow-up.

scholarly journals Imaging-Histological Discordance after Sonographically Guided Percutaneous Breast Core Biopsy

Breast Care ◽  
2014 ◽  
Vol 10 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Aykut Soyder ◽  
Füsun Taşkın ◽  
Serdar Ozbas
Keyword(s):  
Core Biopsy ◽  
Breast Biopsy ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Breast Lesions ◽  
Core Needle ◽  
Ductal Carcinomas ◽  
Histological Results

Background: The objectives of this study were to determine the frequency of imaging-histological discordance and to compare the frequency of carcinoma between discordant lesions at ultrasound (US)-guided core needle biopsy. Materials and Methods: From November 2009 to June 2012, we performed US-guided 14-gauge core needle biopsies on 989 breast lesions in 961 women. We reviewed 58 (5.8%) cases that had imaging-histological discordance after percutaneous breast biopsy and underwent subsequent excisional biopsy. The clinical, radiological, and histological findings were reviewed for those 58 cases. Results: Among the 58 cases, subsequent excisions revealed 16 (27.5%) malignancies, which were categorized as 9 (15.5%) invasive ductal carcinomas, 4 (6.9%) malignant phyllodes tumors, and 3 (5.1%) ductal carcinomas in situ. Conclusion: The malignancy rate of 27.5% suggests that surgical excision should be performed in those cases presenting with imaging-histological discordance after US-guided core biopsy. Careful correlation of clinical, radiological, and histological results as well as appropriate follow-up are essential.

Novel use of ultrasound-guided endo-cavitary probe to evaluate an impalpable parapharyngeal mass

2009 ◽  
Vol 124 (3) ◽  
pp. 328-329 ◽  
Author(s):  
A Riskalla ◽  
A Arora ◽  
F Vaz ◽  
P O'Flynn
Keyword(s):  
General Anaesthesia ◽  
Core Biopsy ◽  
Parapharyngeal Space ◽  
Anatomical Location ◽  
Ultrasound Probe ◽  
Ultrasound Guided ◽  
Probe Technique ◽  
Image Guided ◽  
Guided Biopsy ◽  
Ultrasound Guided Biopsy

AbstractAim:We present a novel, previously undescribed technique of obtaining a biopsy from an inaccessible parapharyngeal space mass.Method:A modified endo-cavitary ultrasound probe was utilised to obtain an intra-oral, image-guided core biopsy of a parapharyngeal tumour. The parapharyngeal mass was not accessible to percutaneous ultrasound-guided biopsy due to its anatomical location.Conclusion:To our knowledge, this is the first such modification of the conventional endo-cavitary probe technique described in the literature. The technique permits accurate, well controlled biopsy of lesions located high in the parapharyngeal space, under general anaesthesia.

MRI-Guided Core Biopsy

2018 ◽  
Author(s):  
Lisa A. Mullen
Keyword(s):  
Core Biopsy ◽  
Breast Biopsy ◽  
Breast Mri ◽  
Key Points ◽  
Mri Guided ◽  
Magnetic Resonance Imaging Mri ◽  
Extent Of Disease ◽  
Mass Enhancement ◽  
High Risk Screening

MRI-guided breast biopsy techniques were developed to sample indeterminate and suspicious breast lesions visible only on MRI. Breast MRI performed for high-risk screening, problem solving, or assessment of extent of disease in patients with newly diagnosed breast cancer may demonstrate indeterminate findings, such as enhancing foci, masses or non-mass enhancement. If the lesion is not visible by mammography or ultrasound, and MRI follow-up is not appropriate, then MRI-guided biopsy is indicated. This chapter, appearing in the section on interventions and surgical changes, reviews the key points and procedural protocols and pitfalls for performance of magnetic resonance imaging (MRI)–guided breast core biopsy. Pre-, peri-, and post-procedure clinical management, radiology–pathology correlation, and imaging follow-up are also reviewed.

scholarly journals The accuracy of ultrasound guided 14–gauge core needle breast biopsy: Correlation with surgical excision or long term follow–up

2011 ◽  
Vol 1 (3) ◽  
pp. 222-226 ◽  
Author(s):  
Sumaporn Makkun ◽  
Jenjeera Prueksadee ◽  
Jatuporn Chayakulkheeree ◽  
Darunee Boonjunwetwat
Keyword(s):  
Breast Biopsy ◽  
Surgical Excision ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Long Term Follow Up

Endoscopic Ultrasound-Guided Biopsy in Benign Disorders: FNA X Core Biopsy?

2007 ◽  
Vol 65 (5) ◽  
pp. AB199
Author(s):  
Daniel Sussman ◽  
Carmen R. Gomez-Fernandez ◽  
Afonso C. Ribeiro
Keyword(s):  
Endoscopic Ultrasound ◽  
Core Biopsy ◽  
Ultrasound Guided ◽  
Guided Biopsy ◽  
Benign Disorders ◽  
Ultrasound Guided Biopsy

scholarly journals Acquired Arteriovenous Fistula of the Breast Following Ultrasound Guided Biopsy of Invasive Ductal Carcinoma

2013 ◽  
Vol 3 ◽  
pp. 38 ◽  
Author(s):  
Adam Gregg ◽  
Rebecca Leddy ◽  
Madelene Lewis ◽  
Abid Irshad
Keyword(s):  
Arteriovenous Fistula ◽  
Invasive Ductal Carcinoma ◽  
Breast Biopsy ◽  
Ductal Carcinoma ◽  
Breast Mass ◽  
Large Core ◽  
Ultrasound Guided ◽  
Case Patient ◽  
Image Guided ◽  
Sonographic Evaluation

Image guided large-core breast biopsies are commonly performed procedures with relatively rare complications. The majority of these complications are minor, though at times more significant vascular injuries can occur with these biopsies as demonstrated by this case. Patient developed a pulsatile vascular breast mass after an ultrasound guided breast biopsy of invasive ductal carcinoma. Sonographic evaluation of this new breast mass demonstrated this mass to represent an arteriovenous fistula (AVF). Though multiple therapies are available for an iatrogenic fistula within the breast, the AVF was surgically excised in this case as it was immediately adjacent to a known cancer.

Preferential Use of Sonographically Guided Biopsy to Minimize Patient Discomfort and Procedure Time in a Percutaneous Image-Guided Breast Biopsy Program

2002 ◽  
Vol 21 (11) ◽  
pp. 1221-1226 ◽  
Author(s):  
Martha B. Mainiero ◽  
Ilana F. Gareen ◽  
Chloe E. Bird ◽  
Wendy Smith ◽  
Cynthia Cobb ◽  
...  
Keyword(s):  
Breast Biopsy ◽  
Procedure Time ◽  
Patient Discomfort ◽  
Image Guided ◽  
Guided Biopsy

scholarly journals A Case Report of Spontaneous Thrombosis of an Iatrogenic Breast Pseudoaneurysm

2020 ◽  
pp. 132-135
Author(s):  
Masoumeh Gity ◽  
Batoul Seifi Nadergoli ◽  
Behnaz Moradi ◽  
Mohammadreza Chavoshi
Keyword(s):  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Breast Biopsy ◽  
Color Doppler ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Traumatic Injuries ◽  
Uncommon Disease ◽  
Contrast Ultrasound

Background: Pseudoaneurysm of the breast is a very uncommon disease mostly occurring following traumatic injuries including biopsy. Increasing the use of core needle biopsy in breast pathologies could lead to more cases of the iatrogenic pseudoaneurysm. Case presentation: Here we described a breast pseudoaneurysm case that occurred after core needle biopsy. The diagnosis was made by color doppler ultrasonography and MRI with contrast. Ultrasound-guided compression was used to treat the lesion. The lesion was followed up with ultrasonography and finally it was resolved.Conclusion: Although hematoma is a more common complication of breast biopsy, other complications including pseudoaneurysm should be kept in mind. Ultrasound is a useful technique for both the diagnosis and non-surgical treatment of the disease. Ultrasound-guided compression and follow up exams could be helpful to prevent invasive procedures.

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