scholarly journals Ultrasound-guided vacuum-assisted breast biopsy with a small-caliber device: A multicenter consecutive study of 162 biopsied lesions

2018 ◽  
Vol 105 (4) ◽  
pp. 312-318
Author(s):  
Christophe Tourasse ◽  
Elina Khasanova ◽  
Philippe Sebag ◽  
Jean Paul Beregi
Keyword(s):  
Needle Biopsy ◽  
Breast Imaging ◽  
Breast Lesion ◽  
Breast Biopsy ◽  
Ultrasound Guided ◽  
Diagnostic Potential ◽  
Vacuum Biopsy ◽  
Representative Samples ◽  
Complex Lesions ◽  
Biopsy Method

Objective: In this study, we aimed to analyze technical and diagnostic potential, and safety of the small-caliber vacuum-assisted biopsy (SCVAB) device in a multicenter consecutive study taking into consideration the type and location of breast lesion. Methods: We collected data from 5 breast imaging centers where radiologists used the SCVAB device for biopsies in 162 patients. We analyzed the conditions for using the SCVAB device according to the characteristics of the lesions, the volume of excision, and the analyzability obtained by biopsy samples. Results: The biopsies of 80 circumscribed masses, 61 complex lesions, and 24 microcalcification foci were included in the study. The reasons for choosing SCVAB as an initial technique were identified. A total of 47 lesions were removed with SCVAB; among them, 24 lesions were initially chosen for total excision. SCVAB was used as a second-choice biopsy method after core-needle biopsy failure in 20 cases. If SCVAB had not been available, vacuum-assisted biopsy would have been the most frequently used technique (106 under ultrasound, and 18 under stereotactical guidance). Conclusions: The SCVAB system is an alternative to classical vacuum biopsy, enabling representative samples to be obtained from lesions that are difficult to access, complex, small, or in cases of unsuccessful previous biopsy. The SCVAB system was determined as the chosen technique by the radiologists in this study due to feasibility, ergonomics and absence of side effects detected in this study.

Accuracy and Upgrade Rates of Percutaneous Breast Biopsy: The Surgeon's Role

2010 ◽  
Vol 76 (10) ◽  
pp. 1084-1087 ◽  
Author(s):  
Windy Olaya ◽  
Won Bae ◽  
Jan Wong ◽  
Jasmine Wong ◽  
Sharmila Roy-Chowdhury ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Breast Imaging ◽  
Breast Biopsy ◽  
Imaging Study ◽  
Surgical Excision ◽  
Core Size ◽  
Image Guided ◽  
Core Samples ◽  
Limited Sampling ◽  
The Impact

We sought to evaluate the impact of needle core size and number of core samples on diagnostic accuracy and upgrade rates for image-guided core needle biopsies of the breast. A total of 234 patients underwent image-guided percutaneous needle biopsies and subsequent surgical excision. Large-core needles (9 gauge or less) were used in 14.5 per cent of cases and the remainder were performed with smaller core needles. More than four core samples were taken in 78.9 per cent of patients. In 71.8 per cent of cases, needle biopsy pathology matched surgical excision pathology. After surgical excision, upgraded pathology was revealed in 10.7 per cent of cases. Of 11 patients (52.4%) with benign needle core pathology who had upgraded final pathology on surgical excision, 10 had a Breast Imaging Recording and Data System score 4 or 5 imaging study. Lesions smaller than 10 mm were more likely to be misdiagnosed ( P = 0.01) or have upgraded pathology ( P = 0.009). Other predictors of upgraded pathology were patient age 50 years or older ( P = 0.03) and taking four or fewer core samples ( P = 0.003). Needle core size did not impact accuracy or upgrade rates. Surgeons should exercise caution when interpreting needle biopsy results with older patients, smaller lesions, and limited sampling. Discordant pathology and imaging still mandate surgical confirmation.

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.

scholarly journals Pure Radial Scars Do Not Require Surgical Excision When Concordant and Benign at Image-guided Breast Biopsy

2021 ◽  
Author(s):  
Maria Piraner ◽  
Kelly D’Amico ◽  
Lawrence L Gilliland ◽  
Mary S Newell ◽  
Michael A Cohen
Keyword(s):  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Breast Imaging ◽  
Breast Biopsy ◽  
Surgical Excision ◽  
Study Cohort ◽  
Core Needle ◽  
Imaging Characteristics

Abstract Objective To determine the best management option (surgical excision versus imaging surveillance) following the diagnosis of pure radial scars (RSs) and RSs with associated additional high-risk lesions (HRLs) encountered on percutaneous core-needle breast biopsy. Methods An IRB–approved retrospective review of the breast imaging reporting system database was performed to identify all cases of pure RS alone or RS plus an additional HRL (papilloma, atypia, lobular neoplasia) diagnosed on core-needle biopsy, from 2007 to 2016, at four breast centers in our institution. Cases with associated malignancy, discordant radiologic-pathologic results, or those lost to follow-up were excluded. The remaining cases were evaluated to determine results of either subsequent surgical excision or long-term follow-up imaging (minimum of two years). Additional data recorded included clinical presentation, breast density, personal and family history of breast cancer, lesion imaging characteristics, and biopsy method. Results The study cohort included 111 patients with 111 lesions: 56.8% (63/111) with RS alone (pure) and 43.2% (48/111) with RS plus additional HRL(s). Out of the 63 radiologic-pathologic concordant pure RSs, there were no upgrades to malignancy in 51 subsequent surgical excisions or 12 long-term surveillance cases (0/63, 0%). Out of the 48 RSs plus additional HRL(s), there were 2 upgrades to malignancy (2/48, 4.2%). Conclusion Cases of radiologic-pathologic concordant pure RS diagnosed at core-needle biopsy do not require surgical excision. On the other hand, surgical excision should be considered for RS plus additional HRLs diagnosed at core-needle biopsy.

scholarly journals Elite VABB 13G: A New Ultrasound-Guided Wireless Biopsy System for Breast Lesions. Technical Characteristics and Comparison with Respect to Traditional Core-Biopsy 14–16G Systems

Diagnostics ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. 291
Author(s):  
Daniele La Forgia ◽  
Alfonso Fausto ◽  
Gianluca Gatta ◽  
Graziella Di Grezia ◽  
Angela Faggian ◽  
...  
Keyword(s):  
Needle Biopsy ◽  
Diagnostic Performance ◽  
Breast Biopsy ◽  
Breast Lesions ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Diagnostic Time ◽  
Breast Centers ◽  
Breast Lumps ◽  
Histological Results

The typification of breast lumps with fine-needle biopsies is often affected by inconclusive results that extend diagnostic time. Many breast centers have progressively substituted cytology with micro-histology. The aim of this study is to assess the performance of a 13G-needle biopsy using cable-free vacuum-assisted breast biopsy (VABB) technology. Two of our operators carried out 200 micro-histological biopsies using the Elite 13G-needle VABB and 1314 14–16G-needle core biopsies (CBs) on BI-RADS 3, 4, and 5 lesions. Thirty-one of the procedures were repeated following CB, eighteen following cytological biopsy, and three after undergoing both procedures. The VABB Elite procedure showed high diagnostic performance with an accuracy of 94.00%, a sensitivity of 92.30%, and a specificity of 100%, while the diagnostic underestimation was 11.00%, all significantly comparable to of the CB procedure. The VABB Elite 13G system has been shown to be a simple, rapid, reliable, and well-tolerated biopsy procedure, without any significant complications and with a diagnostic performance comparable to traditional CB procedures. The histological class change in an extremely high number of samples would suggest the use of this procedure as a second-line biopsy for suspect cases or those with indeterminate cyto-histological results.

scholarly journals Both a biopsy method and a therapeutic procedure in BI-RADS 4A and 4B lesions: Ultrasound-guided vacuumassisted breast biopsy

2020 ◽  
Vol 36 (1) ◽  
pp. 65-71
Author(s):  
Funda Dinç Elibol ◽  
Yelda Dere ◽  
Ahmet Korkut Belli ◽  
Cenk Elibol ◽  
Özcan Dere ◽  
...  
Keyword(s):  
Breast Biopsy ◽  
Therapeutic Procedure ◽  
Ultrasound Guided ◽  
Biopsy Method

The Usefulness of Ultrasound-Guided Core Needle Biopsy for Non-Palpable Breast Lesion

2002 ◽  
Vol 46 (6) ◽  
pp. 601 ◽  
Author(s):  
Jai Kyung You ◽  
Eun Kyung Kim ◽  
Mi Hye Kim ◽  
Jin Young Kwak ◽  
Ki Keun Oh ◽  
...  
Keyword(s):  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Breast Lesion ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Palpable Breast

scholarly journals EVALUATION OF DIAGNOSTIC ACCURACY OF ULTRASOUND-GUIDED SEMI-AUTOMATED CORE NEEDLE BIOPSY OF BREAST SUSPICIOUS MICROCALCIFICATIONS

2020 ◽  
Vol 8 (10) ◽  
pp. 1039-1054
Author(s):  
Alyaa Saad Bunyan ◽  
◽  
Sarah Saad Bonyan ◽  
Akeel Saad Bonyan ◽  
◽  
...  
Keyword(s):  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Core Biopsy ◽  
Breast Imaging ◽  
Ductal Carcinoma ◽  
Benign Lesions ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Final Pathology ◽  
Specimen Radiography

Back ground: Breast microcalcifications are considered an early mammographic sign of breast cancer which are present with tiny bright spots of different morphology. In an ultrasound (US) image, the presence of microcalcifications within breast is an important indicator of malignancy.With an improved sonographic detection of microcalcification, ultrasound could be used for biopsy guidance for target sampling of tissue containing suspicious microcalcifications. If the biopsied lesions had a suspicious microcalcifications, specimen radiograph is mandatory to confirm the presence of microcalcifications in which a core containing any calcification on specimen radiography was defined as asuccessfully retrieved core. 14-G(Gauge) semi-automated core needle biopsy(CNB) device is less costly than other biopsy device. Methods:A prospective study was conducted on thirty female patients with thirty- two lesions their mean age was 48.53 years (age range, 21-75 years) radiologically classified as BIRADS (Breast Imaging Reporting and Data system) 4 (b, c) and5 from those referred to women imaging health unit in Radiology department for Sono- Mammography and those patients were referred from the inpatient wards and outpatient clinics of the surgery departments during the period from September 2018 till May 2019.All patients underwent conventional digital mammography and B-mode ultrasound examination and Ultrasound guided biopsy, specimen radiography then tissue samples were sent to histopathology department in which slide picture was done.Then (28) females done surgery and (2) patient still for follow up. Results: Radiological diagnosis of our lesions using BIRADS(Breast Imaging Reporting and Data system) categorical method were identified as two intermediate suspicious lesions (BIRADS 4B 6.3 %), twelve moderate suspicious lesions (BIRADS 4C 34.4 %), and 19 highly suggestive of malignancy lesions (BIRADS 5 59.4 %). Retrieval rate of calcifications according to specimen radiography were successfully retrieved in 30/32 lesions (93.8 %) and confirmed on specimen radiography .CNB( core needle biopsy) identified 28 lesions (87.5 %) malignant and four (12.5 %) benign lesions. Distribution of lesions according to pathological diagnosis in successful and fail retrieval group, the successful retrieval group comprised 26 malignant (22 IDC(Invasive ductal carcinoma), 2 DCIS(Ductal carcinoma Insitu), 2 ILC(Invasive Lobuler carcinoma) ) and four benign lesions.After CNB( core needle biopsy), 30 lesions underwent surgical excision and final pathology results were provided. All 24 IDC on 14-G semi-automated CNB (core needle biopsy) were confirmed to be IDC(Invasive ductal carcinoma) on final pathology. Of the two DCIS(Ductal carcinoma Insitu) on US(Ultrasound) guided CNB( core needle biopsy), one DCIS, were upgraded to IDC, the other one confirmed to be DCIS on final pathology,the two ILC were confirmed to be ILC on final pathology.Of the four benign lesions, the two ADH(Atypical Ductal hyperplasia) underwent surgical excision, finally diagnosed as DCIS,the other two benign lesions (fibroadenoma and fibroadenosis) their BIRADS assessments were category 4C and were recommended for follow-up.The overall accuracy of US-guided 14-G(Gauge) semi-automated CNB( core needle biopsy) was 90.0 % (27/32). Conclusion: The present study confirms the good retrieval rate (93.8%) of US-guided 14-G semi-automated CNB and diagnostic accuracy of (90.0%). Thus, this could be useful procedure for suspicious microcalcifications apparent on sonography.Specimen radiography proved to be a great help in deciding the accurate retrieval of microclcifications by core biopsy. It should be done in all cases of core biopsy for calcifications with marking of the core containing calcifications to be specially assessed by histopathology. We should try to do core biopsy before using VAB (Vaccum-Assisted Biobsy)for calcifications if well seen by ultrasound.

scholarly journals Step-by-step of ultrasound-guided core-needle biopsy of the breast: review and technique

2013 ◽  
Vol 46 (4) ◽  
pp. 234-241 ◽  
Author(s):  
Rafael Dahmer Rocha ◽  
Renata Reis Pinto ◽  
Diogo Paes Barreto Aquino Tavares ◽  
Cláudia Sofia Aires Gonçalves
Keyword(s):  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Multidisciplinary Approach ◽  
Breast Biopsy ◽  
High Sensitivity ◽  
Ultrasound Guided ◽  
Core Needle ◽  
Number Of Patients ◽  
Proportional Increase

Ultrasound-guided core-needle biopsy has high sensitivity in the diagnosis of breast cancer. The present study is aimed at detailing the main steps of such procedure, including indications, advantages, limitations, follow-up and description of the technique, besides presenting a checklist including the critical steps required for an appropriate practice of the technique. In the recent years, an increasing number of patients have required breast biopsy, indicating the necessity of a proportional increase in the number of skilled professionals to carry out the procedures and histological diagnoses. A multidisciplinary approach involving the tripod clinical practice-radiology-pathology is responsible for the highest rate of accuracy of the technique and must always be adopted.

scholarly journals Granular Cell Tumor: A Rare Breast Lesion

2020 ◽  
Vol 33 (1) ◽  
pp. 61
Author(s):  
Sofia Dutra ◽  
José Carlos Marques
Keyword(s):  
Needle Biopsy ◽  
Breast Imaging ◽  
Breast Lesion ◽  
Granular Cell Tumor ◽  
Granular Cell ◽  
Cell Tumor ◽  
The Body ◽  
Surgical Specimen ◽  
Lesion Core ◽  
Diagnostic Hypothesis

Granular cell tumors are uncommon, and are usually benign neoplasms that can mimic malignancy on breast imaging tests. These tumors can originate anywhere in the body and the breast accounts for only a few cases of all granular cell tumors. We report a case of a 54-year-old woman with a granular cell tumor of the breast presenting clinically on breast imaging (ultrasound, mammography and magnetic resonance) as a suspicious lesion. Core needle biopsy was performed for tissue diagnosis and was consistent with granular cell tumor that was confirmed in the histopathological report of the surgical specimen following a breast lumpectomy. Given the rarity of this tumor, we present this case to highlight this diagnostic hypothesis, that can be challenging and frequently confused with breast carcinoma.

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