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[Can US-guided vacuum-assisted biopsies be an alternative to diagnostic surgery in cases of non-diagnostic core needle biopsy?].
J Radiol. 2005 May; 86(5 Pt 1):475-80.JR

Abstract

PURPOSE

To assess US-guided vacuum-assisted biopsies in the diagnosis of suspicious sonographic breast lesions after non-diagnostic core needle biopsies (CNB).

PATIENTS AND METHODS

Retrospective study of 42 females with suspicious breast lesions at US. CNB previously performed were non-diagnostic. Because of the larger sample size, vacuum-assisted biopsies were performed, instead of surgical biopsy.

RESULTS

Vacuum-assisted biopsies showed 32 benign lesions. Histologic examination of the CNB showed non-specific fibrous tissue in 43% of cases as opposed to 7.1% for vacuum-assisted biopsies. The latter provided a more specific diagnosis (mainly fibrocystic breast disease). From a total of 4 lesions that were suspicious at CNB, 3 were diagnosed as malignancies after vacuum-assisted biopsy and one case was a "borderline" lesion. Three additional malignant and three additional borderline lesions were diagnosed on vacuum-assisted biopsies. In 11 cases, surgical excision was performed, and all diagnoses from vacuum-assisted biopsies were confirmed at microscopy, except in one case where it was underestimated (ADH versus DCIS).

CONCLUSION

US-guided vacuum-assisted biopsy is a reliable technique. Because it provides more tissue than CNB, it can be an alternative to diagnostic surgery after non-diagnostic CNB. Indeed, it allows confirmation of the diagnosis and provides a more specific diagnosis of benign lesions. With regards to malignant and borderline lesions, it avoids the risk of false-negative CNB and overlooking carcinomas.

Authors+Show Affiliations

Service de Radiologie, Hôpital Porte-Madeleine, CHR d'Orleans, BP 2439, 45032 Orleans 1.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

16114203

Citation

Carpentier, E, et al. "[Can US-guided Vacuum-assisted Biopsies Be an Alternative to Diagnostic Surgery in Cases of Non-diagnostic Core Needle Biopsy?]." Journal De Radiologie, vol. 86, no. 5 Pt 1, 2005, pp. 475-80.
Carpentier E, Maruani A, Michenet P, et al. [Can US-guided vacuum-assisted biopsies be an alternative to diagnostic surgery in cases of non-diagnostic core needle biopsy?]. J Radiol. 2005;86(5 Pt 1):475-80.
Carpentier, E., Maruani, A., Michenet, P., Bonneau, C., Degand, P., & Lebas, P. (2005). [Can US-guided vacuum-assisted biopsies be an alternative to diagnostic surgery in cases of non-diagnostic core needle biopsy?]. Journal De Radiologie, 86(5 Pt 1), 475-80.
Carpentier E, et al. [Can US-guided Vacuum-assisted Biopsies Be an Alternative to Diagnostic Surgery in Cases of Non-diagnostic Core Needle Biopsy?]. J Radiol. 2005;86(5 Pt 1):475-80. PubMed PMID: 16114203.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Can US-guided vacuum-assisted biopsies be an alternative to diagnostic surgery in cases of non-diagnostic core needle biopsy?]. AU - Carpentier,E, AU - Maruani,A, AU - Michenet,P, AU - Bonneau,C, AU - Degand,P, AU - Lebas,P, PY - 2005/8/24/pubmed PY - 2005/10/5/medline PY - 2005/8/24/entrez SP - 475 EP - 80 JF - Journal de radiologie JO - J Radiol VL - 86 IS - 5 Pt 1 N2 - PURPOSE: To assess US-guided vacuum-assisted biopsies in the diagnosis of suspicious sonographic breast lesions after non-diagnostic core needle biopsies (CNB). PATIENTS AND METHODS: Retrospective study of 42 females with suspicious breast lesions at US. CNB previously performed were non-diagnostic. Because of the larger sample size, vacuum-assisted biopsies were performed, instead of surgical biopsy. RESULTS: Vacuum-assisted biopsies showed 32 benign lesions. Histologic examination of the CNB showed non-specific fibrous tissue in 43% of cases as opposed to 7.1% for vacuum-assisted biopsies. The latter provided a more specific diagnosis (mainly fibrocystic breast disease). From a total of 4 lesions that were suspicious at CNB, 3 were diagnosed as malignancies after vacuum-assisted biopsy and one case was a "borderline" lesion. Three additional malignant and three additional borderline lesions were diagnosed on vacuum-assisted biopsies. In 11 cases, surgical excision was performed, and all diagnoses from vacuum-assisted biopsies were confirmed at microscopy, except in one case where it was underestimated (ADH versus DCIS). CONCLUSION: US-guided vacuum-assisted biopsy is a reliable technique. Because it provides more tissue than CNB, it can be an alternative to diagnostic surgery after non-diagnostic CNB. Indeed, it allows confirmation of the diagnosis and provides a more specific diagnosis of benign lesions. With regards to malignant and borderline lesions, it avoids the risk of false-negative CNB and overlooking carcinomas. SN - 0221-0363 UR - https://www.unboundmedicine.com/medline/citation/16114203/[Can_US_guided_vacuum_assisted_biopsies_be_an_alternative_to_diagnostic_surgery_in_cases_of_non_diagnostic_core_needle_biopsy]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0221-0363(05)81392-7 DB - PRIME DP - Unbound Medicine ER -