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Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy.
Radiology. 1998 Jul; 208(1):251-60.R

Abstract

PURPOSE

To determine the frequencies of calcification retrieval and histologic underestimates at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy.

MATERIALS AND METHODS

Retrospective review of records revealed 112 calcific lesions in 80 women (aged 31-85 years) who underwent stereotactic, 11-gauge, directional, vacuum-assisted biopsy; a mean of 14 specimens per lesion were obtained. Calcification retrieval was defined as identification of calcifications on radiographs of specimens. Atypical ductal hyperplasia (ADH) underestimates were lesions that yielded ADH at stereotactic biopsy and carcinoma at surgery. Ductal carcinoma in situ (DCIS) underestimates were lesions that yielded DCIS at stereotactic biopsy and infiltrating carcinoma at surgery. Mammograms, stereotactic images, radiographs of specimens, and histologic findings were reviewed.

RESULTS

Stereotactic, 11-gauge, directional, vacuum-assisted biopsy removed all calcifications in 51 (46%) lesions, some calcifications in 55 (49%) lesions, and no calcifications in six (5%) lesions. Failure to retrieve calcifications was significantly more likely in lesions 5 mm or smaller (12% [five of 43] vs 1% [one of 69], P = .03), in calcifications with amorphous morphology (21% [three of 14] vs 3% [three of 98], P < .03), or if the probe was fired outside the breast (12% [five of 40] vs 1% [one of 72], P = .02). Surgery revealed DCIS in one (10%) of 10 lesions that yielded ADH at stereotactic biopsy. Surgery revealed infiltrating carcinoma in one (5%) of 21 lesions that yielded DCIS at stereotactic biopsy. No underestimation occurred when all calcifications were removed.

CONCLUSION

Stereotactic, 11-gauge, directional, vacuum-assisted biopsy resulted in successful calcification retrieval in 106 (95%) of 112 cases. Histologic underestimation was infrequent.

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Publisher Full Text

Authors+Show Affiliations

Liberman L
Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
Smolkin JH
No affiliation info available
Dershaw DD
No affiliation info available
Morris EA
No affiliation info available
Abramson AF
No affiliation info available
Rosen PP
No affiliation info available

MeSH

AdultAgedAged, 80 and overBiopsy, NeedleBreastBreast NeoplasmsCalcinosisCarcinomaCarcinoma in SituCarcinoma, Ductal, BreastFemaleHumansHyperplasiaMammographyMiddle AgedNeoplasm InvasivenessRadiography, InterventionalRetrospective StudiesStereotaxic TechniquesVacuum

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9646821

Citation

Liberman, L, et al. "Calcification Retrieval at Stereotactic, 11-gauge, Directional, Vacuum-assisted Breast Biopsy." Radiology, vol. 208, no. 1, 1998, pp. 251-60.
Liberman L, Smolkin JH, Dershaw DD, et al. Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy. Radiology. 1998;208(1):251-60.
Liberman, L., Smolkin, J. H., Dershaw, D. D., Morris, E. A., Abramson, A. F., & Rosen, P. P. (1998). Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy. Radiology, 208(1), 251-60.
Liberman L, et al. Calcification Retrieval at Stereotactic, 11-gauge, Directional, Vacuum-assisted Breast Biopsy. Radiology. 1998;208(1):251-60. PubMed PMID: 9646821.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Calcification retrieval at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy. AU - Liberman,L, AU - Smolkin,J H, AU - Dershaw,D D, AU - Morris,E A, AU - Abramson,A F, AU - Rosen,P P, PY - 1998/7/1/pubmed PY - 1998/7/1/medline PY - 1998/7/1/entrez SP - 251 EP - 60 JF - Radiology JO - Radiology VL - 208 IS - 1 N2 - PURPOSE: To determine the frequencies of calcification retrieval and histologic underestimates at stereotactic, 11-gauge, directional, vacuum-assisted breast biopsy. MATERIALS AND METHODS: Retrospective review of records revealed 112 calcific lesions in 80 women (aged 31-85 years) who underwent stereotactic, 11-gauge, directional, vacuum-assisted biopsy; a mean of 14 specimens per lesion were obtained. Calcification retrieval was defined as identification of calcifications on radiographs of specimens. Atypical ductal hyperplasia (ADH) underestimates were lesions that yielded ADH at stereotactic biopsy and carcinoma at surgery. Ductal carcinoma in situ (DCIS) underestimates were lesions that yielded DCIS at stereotactic biopsy and infiltrating carcinoma at surgery. Mammograms, stereotactic images, radiographs of specimens, and histologic findings were reviewed. RESULTS: Stereotactic, 11-gauge, directional, vacuum-assisted biopsy removed all calcifications in 51 (46%) lesions, some calcifications in 55 (49%) lesions, and no calcifications in six (5%) lesions. Failure to retrieve calcifications was significantly more likely in lesions 5 mm or smaller (12% [five of 43] vs 1% [one of 69], P = .03), in calcifications with amorphous morphology (21% [three of 14] vs 3% [three of 98], P < .03), or if the probe was fired outside the breast (12% [five of 40] vs 1% [one of 72], P = .02). Surgery revealed DCIS in one (10%) of 10 lesions that yielded ADH at stereotactic biopsy. Surgery revealed infiltrating carcinoma in one (5%) of 21 lesions that yielded DCIS at stereotactic biopsy. No underestimation occurred when all calcifications were removed. CONCLUSION: Stereotactic, 11-gauge, directional, vacuum-assisted biopsy resulted in successful calcification retrieval in 106 (95%) of 112 cases. Histologic underestimation was infrequent. SN - 0033-8419 UR - https://www.unboundmedicine.com/medline/citation/9646821/Calcification_retrieval_at_stereotactic_11_gauge_directional_vacuum_assisted_breast_biopsy_ L2 - https://pubs.rsna.org/doi/10.1148/radiology.208.1.9646821?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -