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Magnetic resonance-guided biopsy of suspicious breast lesions with a handheld vacuum biopsy device.
Acta Radiol. 2006 Nov; 47(9):907-13.AR

Abstract

PURPOSE

To evaluate a handheld vacuum-assisted device system for magnetic resonance image (MRI)-guided breast lesion biopsy.

MATERIAL AND METHODS

In 32 patients, a total of 42 suspicious breast lesions (mean diameter 7.5 mm for mass lesions, 11.6 mm for non-masslike diffuse lesions) seen with MRI (no suspicious changes in breast ultrasound or mammography) were biopsied (27 lateral, 15 medial) using a 10G vacuum-assisted breast biopsy device under MR guidance. Histology of biopsy specimens was compared with final histology after surgery or follow-up in benign lesions.

RESULTS

In all biopsies, technical success was achieved. Histology revealed 11 lesions with ductal carcinoma in situ (DCIS) or invasive cancer, three with intermediate lesions (LCIS) and 28 with benign breast lesions (adenosis, infected hematoma). In one patient with discordant results of MRI and histology, surgical excision revealed medullary cancer. In the follow-up (mean 18 months) of the histological benign lesions, no breast cancer development was observed. Besides minor complications (hematoma, n = 6), with no further therapeutic interventions, no complications occurred.

CONCLUSION

MRI-guided breast lesion biopsy using a handheld vacuum-assisted device is a safe and effective method for the work-up of suspicious lesions seen with breast MRI without changes in mammography or ultrasound. In the case of discordant histology of vacuum biopsy and breast MRI appearance, surgical excision is recommended.

Authors+Show Affiliations

Department of Radiology, Charité, Universitätsmedizin Berlin, Campus Buch, ELIOS-Klinikum Berlin, Berlin, Germany. bernhard.gebauer@charite.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17077039

Citation

Gebauer, B, et al. "Magnetic Resonance-guided Biopsy of Suspicious Breast Lesions With a Handheld Vacuum Biopsy Device." Acta Radiologica (Stockholm, Sweden : 1987), vol. 47, no. 9, 2006, pp. 907-13.
Gebauer B, Bostanjoglo M, Moesta KT, et al. Magnetic resonance-guided biopsy of suspicious breast lesions with a handheld vacuum biopsy device. Acta Radiol. 2006;47(9):907-13.
Gebauer, B., Bostanjoglo, M., Moesta, K. T., Schneider, W., Schlag, P. M., & Felix, R. (2006). Magnetic resonance-guided biopsy of suspicious breast lesions with a handheld vacuum biopsy device. Acta Radiologica (Stockholm, Sweden : 1987), 47(9), 907-13.
Gebauer B, et al. Magnetic Resonance-guided Biopsy of Suspicious Breast Lesions With a Handheld Vacuum Biopsy Device. Acta Radiol. 2006;47(9):907-13. PubMed PMID: 17077039.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Magnetic resonance-guided biopsy of suspicious breast lesions with a handheld vacuum biopsy device. AU - Gebauer,B, AU - Bostanjoglo,M, AU - Moesta,K T, AU - Schneider,W, AU - Schlag,P M, AU - Felix,R, PY - 2006/11/2/pubmed PY - 2007/1/27/medline PY - 2006/11/2/entrez SP - 907 EP - 13 JF - Acta radiologica (Stockholm, Sweden : 1987) JO - Acta Radiol VL - 47 IS - 9 N2 - PURPOSE: To evaluate a handheld vacuum-assisted device system for magnetic resonance image (MRI)-guided breast lesion biopsy. MATERIAL AND METHODS: In 32 patients, a total of 42 suspicious breast lesions (mean diameter 7.5 mm for mass lesions, 11.6 mm for non-masslike diffuse lesions) seen with MRI (no suspicious changes in breast ultrasound or mammography) were biopsied (27 lateral, 15 medial) using a 10G vacuum-assisted breast biopsy device under MR guidance. Histology of biopsy specimens was compared with final histology after surgery or follow-up in benign lesions. RESULTS: In all biopsies, technical success was achieved. Histology revealed 11 lesions with ductal carcinoma in situ (DCIS) or invasive cancer, three with intermediate lesions (LCIS) and 28 with benign breast lesions (adenosis, infected hematoma). In one patient with discordant results of MRI and histology, surgical excision revealed medullary cancer. In the follow-up (mean 18 months) of the histological benign lesions, no breast cancer development was observed. Besides minor complications (hematoma, n = 6), with no further therapeutic interventions, no complications occurred. CONCLUSION: MRI-guided breast lesion biopsy using a handheld vacuum-assisted device is a safe and effective method for the work-up of suspicious lesions seen with breast MRI without changes in mammography or ultrasound. In the case of discordant histology of vacuum biopsy and breast MRI appearance, surgical excision is recommended. SN - 0284-1851 UR - https://www.unboundmedicine.com/medline/citation/17077039/Magnetic_resonance_guided_biopsy_of_suspicious_breast_lesions_with_a_handheld_vacuum_biopsy_device_ L2 - https://journals.sagepub.com/doi/10.1080/02841850600892928?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -