V J Zannis1, K M Aliano. 1. Osborn Ambulatory Surgical Center, Phoenix, Arizona, USA.
Abstract
BACKGROUND: Recent advances in technology have prompted growth in the surgeon's armamentarium for breast biopsy. For nonpalpable, mammographically detected lesions, the options include stereotactic needle/wire localization and open biopsy (SNL/OBx), stereotactic needle core biopsy (SNCB), and directional, vacuum-assisted biopsy (VAB; Mammotome). METHODS: A review of 372 patients with 424 breast lesions biopsied by the same surgeon between January 1993 and August 1997 was performed. RESULTS: SNCB and VAB procedures were less invasive and less morbid than SNL/OBx. Vacuum-assisted biopsy was superior to SNCB for sampling efficiency, with 74% of microcalcifications removed compared with 20% (P <0.0001). Additionally, underestimation of disease was seen with the SNCB technique, but not with VAB. Follow-up mammography found no false negative biopsies in any group. Over the 56 consecutive months, VAB progressively replaced SNL/OBx and SNCB as the procedure of choice. CONCLUSION: A breast surgeon can use VAB to replace open biopsy and core needle procedures for the initial biopsy of nonpalpable breast lesions.
BACKGROUND: Recent advances in technology have prompted growth in the surgeon's armamentarium for breast biopsy. For nonpalpable, mammographically detected lesions, the options include stereotactic needle/wire localization and open biopsy (SNL/OBx), stereotactic needle core biopsy (SNCB), and directional, vacuum-assisted biopsy (VAB; Mammotome). METHODS: A review of 372 patients with 424 breast lesions biopsied by the same surgeon between January 1993 and August 1997 was performed. RESULTS: SNCB and VAB procedures were less invasive and less morbid than SNL/OBx. Vacuum-assisted biopsy was superior to SNCB for sampling efficiency, with 74% of microcalcifications removed compared with 20% (P <0.0001). Additionally, underestimation of disease was seen with the SNCB technique, but not with VAB. Follow-up mammography found no false negative biopsies in any group. Over the 56 consecutive months, VAB progressively replaced SNL/OBx and SNCB as the procedure of choice. CONCLUSION: A breast surgeon can use VAB to replace open biopsy and core needle procedures for the initial biopsy of nonpalpable breast lesions.
Authors: R Schulz-Wendtland; P Dankerl; G Dilbat; M Bani; P A Fasching; K Heusinger; M P Lux; C R Loehberg; S M Jud; C Rauh; C M Bayer; M W Beckmann; D L Wachter; M Uder; M Meier-Meitinger; B Brehm Journal: Geburtshilfe Frauenheilkd Date: 2015-01 Impact factor: 2.915
Authors: R Schulz-Wendtland; P Dankerl; G Dilbat; M Bani; P A Fasching; K Heusinger; M P Lux; C R Loehberg; S M Jud; C Rauh; C M Bayer; M W Beckmann; M Uder; M Meier-Meitinger; B Brehm Journal: Geburtshilfe Frauenheilkd Date: 2013-11 Impact factor: 2.915