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Pain in different methods of breast biopsy: emphasis on vacuum-assisted breast biopsy.
Breast. 2008 Feb; 17(1):71-5.B

Abstract

This study examines pain (visual analog scale 0-10) in women undergoing breast biopsy. Two hundred and twenty-seven patients with a palpable lesion underwent FNA (21G, n=85), core biopsy (14G, n=86) or open biopsy under local anesthesia (n=56). One hundred and twenty-six women presented with a non-palpable lesion, and underwent vacuum-assisted breast biopsy (VABB, 11G) under mammographic guidance, prone position (n=72) or hook-wire localization followed by open surgery (n=54). The techniques sampling non-palpable lesions were the most painful: hook-wire (9.15+/-0.74) and VABB (4.35+/-1.70). Larger needle diameter was associated with more intense pain. Concerning VABB, an S-shape curve of pain (third-order pattern) was documented. A second dose of lidocaine just before the rapid increase phase was then adopted (n=61), and reduced the total/maximum pain. In conclusion, although VABB is less painful than hook-wire, the pain experienced in VABB is significant; however, it can be attenuated by a second dose of lidocaine.

Authors+Show Affiliations

Breast Unit, First Department of Propaedeutic Surgery, Hippokratio Hospital, University of Athens, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17869106

Citation

Zagouri, Flora, et al. "Pain in Different Methods of Breast Biopsy: Emphasis On Vacuum-assisted Breast Biopsy." Breast (Edinburgh, Scotland), vol. 17, no. 1, 2008, pp. 71-5.
Zagouri F, Sergentanis TN, Gounaris A, et al. Pain in different methods of breast biopsy: emphasis on vacuum-assisted breast biopsy. Breast. 2008;17(1):71-5.
Zagouri, F., Sergentanis, T. N., Gounaris, A., Koulocheri, D., Nonni, A., Domeyer, P., Fotiadis, C., Bramis, J., & Zografos, G. C. (2008). Pain in different methods of breast biopsy: emphasis on vacuum-assisted breast biopsy. Breast (Edinburgh, Scotland), 17(1), 71-5.
Zagouri F, et al. Pain in Different Methods of Breast Biopsy: Emphasis On Vacuum-assisted Breast Biopsy. Breast. 2008;17(1):71-5. PubMed PMID: 17869106.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain in different methods of breast biopsy: emphasis on vacuum-assisted breast biopsy. AU - Zagouri,Flora, AU - Sergentanis,Theodoros N, AU - Gounaris,Antonia, AU - Koulocheri,Dimitra, AU - Nonni,Afroditi, AU - Domeyer,Philip, AU - Fotiadis,Constantine, AU - Bramis,John, AU - Zografos,George C, Y1 - 2007/09/14/ PY - 2007/04/02/received PY - 2007/07/05/revised PY - 2007/07/06/accepted PY - 2007/9/18/pubmed PY - 2008/5/3/medline PY - 2007/9/18/entrez SP - 71 EP - 5 JF - Breast (Edinburgh, Scotland) JO - Breast VL - 17 IS - 1 N2 - This study examines pain (visual analog scale 0-10) in women undergoing breast biopsy. Two hundred and twenty-seven patients with a palpable lesion underwent FNA (21G, n=85), core biopsy (14G, n=86) or open biopsy under local anesthesia (n=56). One hundred and twenty-six women presented with a non-palpable lesion, and underwent vacuum-assisted breast biopsy (VABB, 11G) under mammographic guidance, prone position (n=72) or hook-wire localization followed by open surgery (n=54). The techniques sampling non-palpable lesions were the most painful: hook-wire (9.15+/-0.74) and VABB (4.35+/-1.70). Larger needle diameter was associated with more intense pain. Concerning VABB, an S-shape curve of pain (third-order pattern) was documented. A second dose of lidocaine just before the rapid increase phase was then adopted (n=61), and reduced the total/maximum pain. In conclusion, although VABB is less painful than hook-wire, the pain experienced in VABB is significant; however, it can be attenuated by a second dose of lidocaine. SN - 0960-9776 UR - https://www.unboundmedicine.com/medline/citation/17869106/Pain_in_different_methods_of_breast_biopsy:_emphasis_on_vacuum_assisted_breast_biopsy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0960-9776(07)00155-5 DB - PRIME DP - Unbound Medicine ER -