2011, Number 2
<< Back Next >>
Anales de Radiología México 2011; 10 (2)
Stereotactic core-needle breast biopsies. Experiment at CMN 20 de Noviembre, ISSSTE
Franco IA, García CMR, Gorráez MMT, Ramírez JH
Language: Spanish
References: 9
Page: 69-74
PDF size: 214.41 Kb.
ABSTRACT
Purpose. Report the experiment with stereotactic coreneedle breast biopsy.
Material and methods. Stereotactic core-needle biopsies were taken from 58 lesions. The results were validated with excisional biopsy or mastectomy in 17 lesions. Forty-one lesions were radiologically and histologically correlated or patients were given image follow-up for at least 18 months.
Results. The histological diagnosis with stereotactic coreneedle biopsy was possible in 58 lesions with 91% sensitivity for diagnosing breast cancer and 100% specificity. Minor complications occasionally arose during the procedure.
Conclusion. Stereotactic core-needle breast biopsy is precise enough to obtain histological samples of lesions observed mammography and ultrasound studies, and the patient’s therapeutic plan can be changed and expedited accordingly.
REFERENCES
Knaul M, Nigenda G, Lozano R, Arreola OH, Langer A, Frenk J. Cáncer de mama en México: una prioridad apremiante. Salud Publica Mex 2009;51(supl 2):S335-S344.
Kuhl CH, Morakkabati N, Leutner C, Schmiedel A, Wardelmann E, Schild H. MR Imaging guided Large-Core (14-Gauge) Needle Biopsy of Small Lesions Visible at Breast MR Imaging Alone. Radiology 2001;220:31-39.
Procaci K, Antônio de Souza G, Thuler LC, Martins G, Aguilera RF, Canella EO. Breast Imaging Reporting And Data System – BI-RADS: Positive Predictive Value Of Categories 3, 4 and 5. A Systematic Literature Review. Radiol Bras 2007;40(3):173–177.
Hyun Y, Kim EK, Young L, Keun OH. Missed Breast Cancers at US-guided Core Needle Biopsy: How to Reduce Them. RadioGraphics 2007;27:79–94.
Carr J, Hemler P, Halford P, Freimanis I, Choplin RH, Chen YM. Stereotactic Localization of Breast Lesions: How It Works and Methods to Improve Accuracy. RadioGraphics 2001;21:463–473.
Liberman L, Feng TL, Dershaw DD, Morris EA, Abramson AF. US-guided core breast biopsy: use and cost-effectiveness. Radiology 1998;208:717-723.
Dershaw DD, Liberman L. Stereotactic breast biopsy: indications and results. Oncology (Huntingt) 1998;12:907-916.
Liberman L, LaTrenta LR, Dershaw DD, et al. Impact of core biopsy on the surgical management of impalpable breast cancer. AJR Am J Roentgenol 1997;168:495-499.
Parker SH and Klaus AJ. Performing a breast biopsy with a directional, vacuum- assisted biopsy instrument. Radiographics September 1997;17:1233-1252