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Ultrasound-guided vacuum-assisted core breast biopsy: experience with 406 cases.
Breast Cancer Res Treat. 2007 Mar; 102(1):103-10.BC

Abstract

PURPOSE

The aim of this study was to determine the indications, accuracy and complications of vacuum-assisted breast biopsy (VABB) performed using ultrasonographic (US) guidance for non-palpable lesions.

MATERIALS AND METHODS

This was a prospective study in which results from consecutive US-guided VABB performed between January 1999 and April 2003 were subsequently compared to those from excisional biopsy or to long-term follow-up imaging.

RESULTS

Four hundred and six lesions were submitted to VABB procedures. Out of those, 78.9% were benign, 18.8% were malignant, 1.7% was lobular neoplasia, and 0.4% was atypical duct hyperplasia. Underestimation occurred in 2.6% of the cases and false negative results in 0.6%. Sensitivity to VABB was 97%, specificity went up to 100%, negative predictive value was 99%, positive predictive value was 100%, and accuracy was 99%. Complications occurred in 9% of the patients.

CONCLUSION

US-guided VABB is an accurate and safe procedure. The main indication is the non-palpable suspicious breast lesions (category 4). This new technique could be a good alternative for percutaneous and surgery biopsy.

Authors+Show Affiliations

Breast Imaging Unit, Department of Radiology, European Institute of Oncology, Milan, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16838109

Citation

Cassano, Enrico, et al. "Ultrasound-guided Vacuum-assisted Core Breast Biopsy: Experience With 406 Cases." Breast Cancer Research and Treatment, vol. 102, no. 1, 2007, pp. 103-10.
Cassano E, Urban LA, Pizzamiglio M, et al. Ultrasound-guided vacuum-assisted core breast biopsy: experience with 406 cases. Breast Cancer Res Treat. 2007;102(1):103-10.
Cassano, E., Urban, L. A., Pizzamiglio, M., Abbate, F., Maisonneuve, P., Renne, G., Viale, G., & Bellomi, M. (2007). Ultrasound-guided vacuum-assisted core breast biopsy: experience with 406 cases. Breast Cancer Research and Treatment, 102(1), 103-10.
Cassano E, et al. Ultrasound-guided Vacuum-assisted Core Breast Biopsy: Experience With 406 Cases. Breast Cancer Res Treat. 2007;102(1):103-10. PubMed PMID: 16838109.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ultrasound-guided vacuum-assisted core breast biopsy: experience with 406 cases. AU - Cassano,Enrico, AU - Urban,Linei A B D, AU - Pizzamiglio,Maria, AU - Abbate,Francesca, AU - Maisonneuve,Patrick, AU - Renne,Giuseppe, AU - Viale,Giuseppe, AU - Bellomi,Massimo, Y1 - 2006/07/13/ PY - 2005/12/26/received PY - 2006/06/13/accepted PY - 2006/7/14/pubmed PY - 2007/7/20/medline PY - 2006/7/14/entrez SP - 103 EP - 10 JF - Breast cancer research and treatment JO - Breast Cancer Res Treat VL - 102 IS - 1 N2 - PURPOSE: The aim of this study was to determine the indications, accuracy and complications of vacuum-assisted breast biopsy (VABB) performed using ultrasonographic (US) guidance for non-palpable lesions. MATERIALS AND METHODS: This was a prospective study in which results from consecutive US-guided VABB performed between January 1999 and April 2003 were subsequently compared to those from excisional biopsy or to long-term follow-up imaging. RESULTS: Four hundred and six lesions were submitted to VABB procedures. Out of those, 78.9% were benign, 18.8% were malignant, 1.7% was lobular neoplasia, and 0.4% was atypical duct hyperplasia. Underestimation occurred in 2.6% of the cases and false negative results in 0.6%. Sensitivity to VABB was 97%, specificity went up to 100%, negative predictive value was 99%, positive predictive value was 100%, and accuracy was 99%. Complications occurred in 9% of the patients. CONCLUSION: US-guided VABB is an accurate and safe procedure. The main indication is the non-palpable suspicious breast lesions (category 4). This new technique could be a good alternative for percutaneous and surgery biopsy. SN - 0167-6806 UR - https://www.unboundmedicine.com/medline/citation/16838109/Ultrasound_guided_vacuum_assisted_core_breast_biopsy:_experience_with_406_cases_ L2 - https://doi.org/10.1007/s10549-006-9305-x DB - PRIME DP - Unbound Medicine ER -