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Is ultrasonography-guided modified coaxial core biopsy of the breast a better technique?
Hong Kong Med J. 2009 Aug; 15(4):246-8.HK

Abstract

OBJECTIVE

To compare the diagnostic rate, patient comfort, and complications of ultrasonography-guided breast biopsy using a modified coaxial technique with ultrasonography-guided fine needle aspiration and traditional core biopsy. A secondary objective was to describe the use of the coaxial technique for the biopsy of breast lesions and our initial experience.

DESIGN

Retrospective study.

SETTING

A regional hospital in Hong Kong.

PATIENTS

Patients, who were referred for ultrasonography-guided fine needle aspiration or biopsy from 23 November 2007 to 19 March 2008, were divided into three groups. For breast lesions of 8 mm or smaller, fine needle aspirations were performed. For breast lesions larger than 8 mm, the patients were randomly divided into groups receiving traditional core biopsies and coaxial biopsies. The pathological reports were reviewed.

MAIN OUTCOME MEASURES

Diagnostic rate, patient comfort assessed in terms of pain, and any procedural complications.

RESULTS

A total of 45 ultrasonography-guided fine needle aspirations or biopsies of breast lesions were performed. All core biopsies using the traditional core technique (n=15) and coaxial technique (n=16) were diagnostic. While for fine needle aspirations, three (21%) of 14 were not diagnostic and repeat biopsies were undertaken for the corresponding patients. Except for one breast lesion biopsied with the coaxial technique that revealed invasive ductal carcinoma, all others yielded benign lesions. The average pain score for coaxial biopsies was 2.2, while for traditional core biopsies and fine needle aspirations, average scores were 3.7 and 3.8, respectively (P=0.022). No procedure-related complication was documented with either of the three techniques.

CONCLUSION

Modified coaxial core biopsy of the breast has an optimal diagnostic rate and hence avoids the need for repeat biopsies. It is associated with better patient comfort and no increase in the risk of complications.

Authors+Show Affiliations

Department of Radiology, Princess Margaret Hospital, Laichikok, Kowloon, Hong Kong. singsingboy@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19652229

Citation

Wong, C S., et al. "Is Ultrasonography-guided Modified Coaxial Core Biopsy of the Breast a Better Technique?" Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi, vol. 15, no. 4, 2009, pp. 246-8.
Wong CS, Chu YC, Wong KW, et al. Is ultrasonography-guided modified coaxial core biopsy of the breast a better technique? Hong Kong Med J. 2009;15(4):246-8.
Wong, C. S., Chu, Y. C., Wong, K. W., Yeung, T. H., & Ma, K. F. (2009). Is ultrasonography-guided modified coaxial core biopsy of the breast a better technique? Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi, 15(4), 246-8.
Wong CS, et al. Is Ultrasonography-guided Modified Coaxial Core Biopsy of the Breast a Better Technique. Hong Kong Med J. 2009;15(4):246-8. PubMed PMID: 19652229.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is ultrasonography-guided modified coaxial core biopsy of the breast a better technique? AU - Wong,C S, AU - Chu,Y C, AU - Wong,K W, AU - Yeung,T H, AU - Ma,K F, PY - 2009/8/5/entrez PY - 2009/8/5/pubmed PY - 2009/10/9/medline SP - 246 EP - 8 JF - Hong Kong medical journal = Xianggang yi xue za zhi JO - Hong Kong Med J VL - 15 IS - 4 N2 - OBJECTIVE: To compare the diagnostic rate, patient comfort, and complications of ultrasonography-guided breast biopsy using a modified coaxial technique with ultrasonography-guided fine needle aspiration and traditional core biopsy. A secondary objective was to describe the use of the coaxial technique for the biopsy of breast lesions and our initial experience. DESIGN: Retrospective study. SETTING: A regional hospital in Hong Kong. PATIENTS: Patients, who were referred for ultrasonography-guided fine needle aspiration or biopsy from 23 November 2007 to 19 March 2008, were divided into three groups. For breast lesions of 8 mm or smaller, fine needle aspirations were performed. For breast lesions larger than 8 mm, the patients were randomly divided into groups receiving traditional core biopsies and coaxial biopsies. The pathological reports were reviewed. MAIN OUTCOME MEASURES: Diagnostic rate, patient comfort assessed in terms of pain, and any procedural complications. RESULTS: A total of 45 ultrasonography-guided fine needle aspirations or biopsies of breast lesions were performed. All core biopsies using the traditional core technique (n=15) and coaxial technique (n=16) were diagnostic. While for fine needle aspirations, three (21%) of 14 were not diagnostic and repeat biopsies were undertaken for the corresponding patients. Except for one breast lesion biopsied with the coaxial technique that revealed invasive ductal carcinoma, all others yielded benign lesions. The average pain score for coaxial biopsies was 2.2, while for traditional core biopsies and fine needle aspirations, average scores were 3.7 and 3.8, respectively (P=0.022). No procedure-related complication was documented with either of the three techniques. CONCLUSION: Modified coaxial core biopsy of the breast has an optimal diagnostic rate and hence avoids the need for repeat biopsies. It is associated with better patient comfort and no increase in the risk of complications. SN - 1024-2708 UR - https://www.unboundmedicine.com/medline/citation/19652229/Is_ultrasonography_guided_modified_coaxial_core_biopsy_of_the_breast_a_better_technique L2 - http://www.hkmj.org/abstracts/v15n4/246.htm DB - PRIME DP - Unbound Medicine ER -