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[Management of non-palpable breast lesions with vacuum-assisted large core needle biopsies (Mammotome). Experience with 560 procedures at the Val d'Aurelle Center].
Ann Pathol. 2003 Dec; 23(6):582-92.AP

Abstract

Percutaneous vacuum-assisted large core needle biopsy of breast microcalcifications is now commonly performed as the initial approach to nonpalpable breast lesions. It can obviate the need for surgery in women with benign lesions and often lead to a one-stage surgical procedure when malignant lesions are diagnosed. To illustrate this strategy, we describe our experience based on 560 procedures performed within a 36 Month-period. Sixty percent of the lesions were benign, mostly fibrocystic changes. Thirty percent of the specimens were malignant, almost exclusively intraductal carcinomas, sometimes associated with an invasive component. This component must be identified by the pathologist in order to avoid incomplete treatment and to plan lymph node excision. Finally, 10% of the specimens were boderline including lobular neoplasia, atypical ductal hyperplasia and columnar cell lesions with atypia. Surgical excision is recommended for atypical ductal hyperplasia, columnar cell lesions with atypia and lobular neoplasia with particular features, pleomorphic or comedo-like, to avoid missing more aggressive associated lesions. A strict procedure is required for the analysis of needle core biopsies and the subsequent surgical specimens, to accurately classify breast lesions provided by a mammographic screening program. This procedure should be based on a multidisciplinary approach and dialog.

Authors+Show Affiliations

Bibeau F
Service d'Anatomie Pathologique, CRCL Val d'Aurelle, Montpellier. fbibeau@valdorel.fnclcc.fr
Chateau MC
No affiliation info available
Masson B
No affiliation info available

MeSH

Biopsy, NeedleBreastBreast DiseasesBreast NeoplasmsCarcinoma, Ductal, BreastCase ManagementEquipment DesignFemaleFranceHumansHyperplasiaLymph Node ExcisionMetaplasiaPalpationRetrospective StudiesVacuum

Pub Type(s)

Evaluation Study
Journal Article

Language

fre

PubMed ID

15094596

Citation

Bibeau, Frédéric, et al. "[Management of Non-palpable Breast Lesions With Vacuum-assisted Large Core Needle Biopsies (Mammotome). Experience With 560 Procedures at the Val d'Aurelle Center]." Annales De Pathologie, vol. 23, no. 6, 2003, pp. 582-92.
Bibeau F, Chateau MC, Masson B. [Management of non-palpable breast lesions with vacuum-assisted large core needle biopsies (Mammotome). Experience with 560 procedures at the Val d'Aurelle Center]. Ann Pathol. 2003;23(6):582-92.
Bibeau, F., Chateau, M. C., & Masson, B. (2003). [Management of non-palpable breast lesions with vacuum-assisted large core needle biopsies (Mammotome). Experience with 560 procedures at the Val d'Aurelle Center]. Annales De Pathologie, 23(6), 582-92.
Bibeau F, Chateau MC, Masson B. [Management of Non-palpable Breast Lesions With Vacuum-assisted Large Core Needle Biopsies (Mammotome). Experience With 560 Procedures at the Val d'Aurelle Center]. Ann Pathol. 2003;23(6):582-92. PubMed PMID: 15094596.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Management of non-palpable breast lesions with vacuum-assisted large core needle biopsies (Mammotome). Experience with 560 procedures at the Val d'Aurelle Center]. AU - Bibeau,Frédéric, AU - Chateau,Marie-Christine, AU - Masson,Bruno, PY - 2004/4/20/pubmed PY - 2004/5/22/medline PY - 2004/4/20/entrez SP - 582 EP - 92 JF - Annales de pathologie JO - Ann Pathol VL - 23 IS - 6 N2 - Percutaneous vacuum-assisted large core needle biopsy of breast microcalcifications is now commonly performed as the initial approach to nonpalpable breast lesions. It can obviate the need for surgery in women with benign lesions and often lead to a one-stage surgical procedure when malignant lesions are diagnosed. To illustrate this strategy, we describe our experience based on 560 procedures performed within a 36 Month-period. Sixty percent of the lesions were benign, mostly fibrocystic changes. Thirty percent of the specimens were malignant, almost exclusively intraductal carcinomas, sometimes associated with an invasive component. This component must be identified by the pathologist in order to avoid incomplete treatment and to plan lymph node excision. Finally, 10% of the specimens were boderline including lobular neoplasia, atypical ductal hyperplasia and columnar cell lesions with atypia. Surgical excision is recommended for atypical ductal hyperplasia, columnar cell lesions with atypia and lobular neoplasia with particular features, pleomorphic or comedo-like, to avoid missing more aggressive associated lesions. A strict procedure is required for the analysis of needle core biopsies and the subsequent surgical specimens, to accurately classify breast lesions provided by a mammographic screening program. This procedure should be based on a multidisciplinary approach and dialog. SN - 0242-6498 UR - https://www.unboundmedicine.com/medline/citation/15094596/[Management_of_non_palpable_breast_lesions_with_vacuum_assisted_large_core_needle_biopsies__Mammotome___Experience_with_560_procedures_at_the_Val_d'Aurelle_Center]_ DB - PRIME DP - Unbound Medicine ER -