71 results match your criteria: "Breast Stereotactic Core Biopsy Fine Needle Aspiration"
Advances in Breast Imaging with Current Screening Recommendations and Controversies.
Obstet Gynecol Clin North Am
March 2022
WVU Department of Radiology, West Virginia University School of Medicine, PO Box 9235, Morgantown, WV 26506, USA; Breast Imaging Fellowship Director, WVU Department of Radiology; Associate Professor of Radiology, West Virginia University School of Medicine. Electronic address:
Article Synopsis
- Breast imaging has significantly evolved over recent decades due to advancements in technologies like mammography, ultrasound, tomosynthesis, and breast MRI, enhancing breast cancer detection and diagnosis.
- Image-guided core breast biopsies have become the preferred method over fine needle aspirations for diagnosing breast issues.
- The article aims to educate referring physicians on the current practices, importance, and execution of common studies and procedures in breast imaging clinics.
Imaging of Intracystic Papillary Carcinoma.
Curr Probl Diagn Radiol
December 2019
The University of Texas MD Anderson Cancer Center, Department of Diagnostic Radiology, Division of Diagnostic Imaging, Houston, TX. Electronic address:
Article Synopsis
- The study aimed to characterize the clinical and imaging features of intracystic papillary carcinoma (IPC) in the breast, utilizing data from patients diagnosed between 1999 and 2013.
- A total of 40 patients were examined, mostly presenting with palpable masses; mammography results showed oval shapes and high density, while ultrasound identified various mass shapes.
- The findings indicated that there were no distinct imaging features to differentiate between in situ and invasive IPC, although oval masses were the most common ultrasound feature observed.
Biopsy Feasibility Trial for Breast Cancer Pathologic Complete Response Detection after Neoadjuvant Chemotherapy: Imaging Assessment and Correlation Endpoints.
Ann Surg Oncol
July 2018
Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Article Synopsis
- This study evaluated the effectiveness of mammograms, ultrasounds, and image-guided biopsies in assessing the pathologic complete response (pCR) in breast cancer patients who underwent neoadjuvant chemotherapy (NAC).
- A total of 40 patients were analyzed, with emphasis on the differences in biopsy techniques; stereotactic guided biopsies (SG) showed higher accuracy and predictive value for detecting pCR compared to ultrasound-guided biopsies (USG).
- The findings suggest that SG VACBx is the preferred method for identifying pCR in breast cancer patients, which may influence future clinical trials exploring the possibility of forgoing surgery.
Advances in breast intervention: where are we now and where should we be?
Clin Radiol
August 2018
Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein 10, Nijmegen, The Netherlands. Electronic address:
Article Synopsis
- Over the past 40 years, various minimal or non-invasive methods for diagnosing and treating breast cancer have been developed, though biopsy remains essential for accurate diagnosis.
- Core-needle biopsies guided by ultrasound are preferred for most lesions, while fine-needle aspirations help detect metastatic disease in lymph nodes.
- The article reviews the effectiveness of current techniques and explores future promising advancements in minimally invasive treatments that improve cosmetic outcomes and reduce hospital stays.
Mucocele-like lesions in the breast diagnosed with percutaneous biopsy: is surgical excision necessary?
AJR Am J Roentgenol
January 2015
1 Tufts University School of Medicine, Boston, MA.
Article Synopsis
- This study aimed to assess the rates of atypia and cancer in patients diagnosed with mucocele-like lesions (MLL) through excisional biopsy after percutaneous breast biopsy.
- Out of 9,286 lesions, MLLs were identified in 35 patients; 34% of these had atypical findings, while 66% were considered benign.
- Results indicate that while some MLLs with atypia can progress to malignancy, benign MLLs are generally non-cancerous, suggesting the need for surgical intervention primarily for those with atypia.
Vacuum-assisted breast biopsy for breast cancer.
Gland Surg
May 2014
Department of Surgery, Kangnam CHA Hospital, CHA University College of Medicine, Seoul, Korea.
Article Synopsis
- Sonographic examination of the breast is now crucial for assessing breast lesions and complements mammography and physical exams.
- Vacuum-assisted breast biopsy (VABB) is an advanced technique beneficial for biopsies, especially of clustered microcalcifications, and is gaining acceptance as a reliable alternative to surgical biopsies.
- VABB offers improved diagnostic accuracy and reduces unnecessary operations, though it can have minor complications like pain or bleeding, which are usually manageable.
Predictors of pain experienced by women during percutaneous imaging-guided breast biopsies.
J Am Coll Radiol
July 2014
Department of Radiology, Duke University Medical Center, Durham, North Carolina. Electronic address:
Article Synopsis
- The study aimed to assess pain levels during imaging-guided core-needle breast biopsies and identify factors influencing pain perception.
- Researchers recruited 136 women who completed questionnaires about pain expectations, anxiety, and other relevant factors while examining various biopsy characteristics.
- Results showed that most women reported minimal pain, and factors like younger age and higher anticipated pain were linked to increased pain perception; improved communication about pain expectations may help alleviate anxiety.
Flat ductal intraepithelial neoplasia 1A diagnosed at stereotactic core needle biopsy: is excisional biopsy indicated?
AJR Am J Roentgenol
March 2013
Department of Radiology, University of British Columbia, Vancouver, BC, Canada.
Article Synopsis
- This study investigates the link between ductal intraepithelial neoplasia (DIN) 1A diagnosed through biopsy and the likelihood of finding more serious conditions like ductal carcinoma in situ (DCIS) or invasive carcinoma during surgery or follow-up imaging.
- Researchers analyzed 239 patients who had DIN 1A diagnosed through imaging-guided core needle or vacuum-assisted biopsies, excluding those with more severe conditions.
- The findings revealed a low upgrade rate of 4.2%, suggesting that immediate surgery may not be necessary and that short-term imaging follow-up could be a viable alternative.
Breast imaging for interventional pathologists.
Arch Pathol Lab Med
January 2013
Fine Needle Aspiration Medical Group, Alhambra, California 91801, USA.
Article Synopsis
- Pathologist-performed, ultrasound-guided fine-needle aspiration biopsy is becoming increasingly important, especially for diagnosing breast masses, but current training is lacking compared to other areas like thyroid biopsies.
- The objective is to provide interventional pathologists with foundational knowledge of mammography and breast ultrasound, enabling them to incorporate breast biopsies into their skill set.
- Early breast cancer detection hinges on screening mammograms; understanding the types of lesions that require biopsies, and the appropriate biopsy methods, is essential for effective diagnosis and treatment.
Stereotactic core biopsy: Comparison of 11 gauge with 8 gauge vacuum assisted breast biopsy.
Eur J Radiol
October 2012
Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
Article Synopsis
- The study aimed to compare the diagnostic performance of 11 gauge and 8 gauge vacuum-assisted biopsy devices in obtaining accurate results from needle biopsies.
- A retrospective analysis of 828 biopsy records revealed that while both needle sizes were effective, the 8 gauge devices had a slightly higher rate of correct diagnoses and fewer misclassifications.
- The findings support using the 8 gauge needle over the 11 gauge needle, as it showed improved diagnostic accuracy without significant underestimation of pathology.
Image-guided breast biopsy: state-of-the-art.
Clin Radiol
April 2010
South East London Breast Screening Programme and National Breast Screening Training Centre, Kings College Hospital NHS Foundation Trust, London SE5 9RS, UK.
Article Synopsis
- Percutaneous image-guided breast biopsy is a common method used to assess non-palpable breast lesions, and it has evolved significantly over the years.* -
- The original sampling technique, fine-needle aspiration cytology, was later supplemented by larger core needle biopsies and advanced imaging methods, enhancing their accuracy.* -
- The review covers various breast biopsy devices and localization techniques, discussing their pros, cons, and current debates in clinical management.*
Clinical implications of subcategorizing BI-RADS 4 breast lesions associated with microcalcification: a radiology-pathology correlation study.
Breast J
August 2010
Department of Pathology, University of Louisville, Louisville, Kentucky 40202, USA.
Article Synopsis
- * A study reviewed 239 stereotactic-needle core biopsies of BI-RADS 4 lesions, finding that 49% were categorized as 4A, 38% as 4B, and 13% as 4C, with common findings including fibrocystic change and ductal carcinoma in situ (DCIS).
- * The results indicated a significant difference in DCIS presence among the subcategories, with 70% of 4C lesions being DCIS,
Biopsy method: a major predictor of adherence after benign breast biopsy?
AJR Am J Roentgenol
November 2009
Breast Unit, 1st Department of Propaedeutic Surgery, Hippokratio Hospital, School of Medicine, University of Athens, Greece, Ampelokipi, Athens 11521, Greece.
Article Synopsis
- The study examined how different breast biopsy methods impact women's compliance with follow-up recommendations after receiving benign results.
- It involved 410 women and found that those who had a vacuum-assisted breast biopsy were more likely to follow up than those who had other biopsy methods, with this trend lasting for up to 18 months.
- Factors like patient age and the presence of complications also influenced compliance, indicating the need for further research on how these factors affect follow-up behaviors in different biopsy contexts.
Breast cancer seeding associated with core needle biopsies: a systematic review.
Maturitas
February 2009
Breast Unit, ISALA Breast Cancer Prevention Center and High Risk Clinic Dept OB-Gyn, St. Pierre University Hospital, Haute Str. 290, B-1000 Brussels, Belgium.
Article Synopsis
- Preoperative diagnosis, particularly via ultrasound guided core needle biopsy (CNB), has become a standard practice in managing breast cancer, replacing fine needle aspiration cytology.
- A systematic review of studies between 1900 and 2008 revealed that while epithelial cell displacement (DE) is common after CNB, it does not correlate to increased local recurrence or worse survival outcomes in patients.
- The review identified several factors associated with DE, such as the timing of surgery post-biopsy, but noted significant biases in the studies analyzed, emphasizing the need for further research on the clinical significance of DE.
Frequency and upgrade rates of atypical ductal hyperplasia diagnosed at stereotactic vacuum-assisted breast biopsy: 9-versus 11-gauge.
AJR Am J Roentgenol
January 2009
Department of Radiology, University of Washington Medical Center, Seattle, WA, USA.
Article Synopsis
- - The study aimed to analyze the frequency and upgrade rates of atypical ductal hyperplasia (ADH) diagnosed through stereotactic 9-gauge and 11-gauge vacuum-assisted breast biopsies, examining if one method had superior outcomes compared to the other.
- - Out of 991 biopsy procedures reviewed, 14.2% were diagnosed with ADH, with upgrade rates to cancer being similar for both the 9-gauge (21.6%) and 11-gauge (20.4%) biopsies, indicating no significant difference.
- - The findings suggest that using a larger biopsy needle does not lead to a lower upgrade rate for ADH, and the overall frequency of ADH observed is higher than previously documented
Large-core needle biopsy versus fine-needle aspiration biopsy in solid breast lesions: comparison of costs and diagnostic value.
Acta Radiol
October 2008
Medical Imaging Centre, Department of Radiology, Pirkanmaa Hospital District, Tampere, Finland.
Article Synopsis
- Hospitals face budget cuts and staffing shortages, prompting the need for cost-effective diagnostic methods for breast lesions.
- This study evaluates 688 cases to compare the total costs and diagnostic effectiveness of fine-needle aspiration biopsy (FNAB) versus core-needle biopsy (CNB).
- Despite FNAB being cheaper (average cost of €66) and offering less reliability (19% false-negative rate) compared to CNB (11% false-negative rate), it remains a cost-effective option, particularly when conducted with ultrasound guidance to avoid increased costs associated with stereotactic guidance CNB.
Evaluation and indications of ultrasound-guided vacuum-assisted core needle breast biopsy.
Breast Cancer
November 2007
Department of Surgery, Kawaguchi Municipal Medical Center, Kawaguchi-city, Saitama, Japan.
Article Synopsis
- The Mammotome is a diagnostic tool used for breast biopsies, particularly effective for non-palpable microcalcifications under stereotactic guidance, but its use under ultrasound varies by institution.
- Between July 1999 and September 2006, 433 ultrasound-guided Mammotome biopsies were performed, primarily targeting mass lesions, with high success rates in obtaining target lesions.
- The study concluded that ultrasound-guided Mammotome biopsy is a reliable and minimally invasive method for breast diagnoses, making it the preferred choice for accurate pathological assessments of breast lesions.
Ultrasound imaging features of radial scars of the breast.
Australas Radiol
June 2007
Department of Diagnostic and Interventional Radiology, Royal Perth Hospital, Perth, Western Australia, Australia.
Article Synopsis
- A study reviewed records of 7236 women and found 44 radial scars, concluding that 68% are visible via ultrasound, often appearing as hypoechoic areas.
- The findings suggest that at least two-thirds of radial scars detected by mammograms can also be visualized on ultrasound, indicating this method is effective for preoperative biopsies and localization.
A decade of breast cancer screening in The Netherlands: trends in the preoperative diagnosis of breast cancer.
Breast Cancer Res Treat
November 2007
Department of Radiology, Catharina Hospital, PO Box 1350, 5602 ZA, Eindhoven, The Netherlands.
Article Synopsis
- The study examines trends in preoperative confirmation of breast cancer among women in the southern Netherlands who underwent screenings from 1995 to 2005.
- Out of nearly 259,000 screenings, only 1.2% were positive, leading to breast cancer diagnoses and an increase in preoperative biopsy usage.
- The findings show a dramatic rise in preoperative breast cancer diagnosis rates, primarily due to the increased use of ultrasound-guided and stereotactic biopsy techniques, while fine needle aspiration's use significantly declined.
Cost-effective use of breast biopsy techniques in a Veterans health care system.
Am J Surg
November 2006
Department of General Surgery, VA Tennessee Valley Healthcare System, CCC-4312 Medical Center North, Nashville, TN 37232-2730, USA.
Article Synopsis
- Breast health concerns are rising among veterans, leading to a comparison of costs and trends between open surgical biopsies at Veterans Affairs (VA) hospitals and percutaneous image-guided biopsies at affiliated academic institutions.
- A study reviewed 62 patients between 2003 and 2005 to analyze the efficacy and costs associated with each biopsy method, finding significant differences in the procedures used and their associated expenses.
- Results showed that open surgical biopsies averaged around $4,368, while percutaneous biopsies averaged only $1,267, highlighting a growing preference for the less invasive method, which increased from 13% to 48% during the study period.
Accuracy and underestimation of malignancy of breast core needle biopsy: the Florence experience of over 4000 consecutive biopsies.
Breast Cancer Res Treat
March 2007
Centro per lo Studio e la Prevenzione Oncologica (CSPO), Florence, Italy.
Article Synopsis
- Breast core needle biopsy (CNB) is effective for sampling breast lesions, showing an overall sensitivity of 94.2% and specificity of 88.1% in a study of 4035 biopsies.
- The underestimation rate of malignancy is notably higher for automated CNB compared to vacuum-assisted biopsy, particularly in cases involving microcalcifications, with a significant difference of 14%.
- Operator experience and caseload improve sensitivity, while accuracy remains consistent across different biopsy methods and lesion types, indicating the importance of correlating imaging and clinical findings in breast diagnosis.
Quality of diagnosis and surgical management of breast lesions in a community hospital: room for improvement?
Can J Surg
June 2006
Division of General Surgery, Department of Surgery, McMaster University, Hamilton, Ont.
Article Synopsis
- * Findings indicated that nearly half (49%) of the examined breast lesions were malignant, and fine needle aspiration biopsy (FNAB) was highly accurate, with a 100% positive predictive value for malignancy in identified positive cases, although only a limited number of other diagnostic methods, such as core needle biopsy and mammograms, were employed.
- * Surgical outcomes revealed that many initial procedures resulted in positive or close margins, necessitating a high rate of reoperations (91%) for patients with malignancies
Significance of papillary lesions at percutaneous breast biopsy.
Ann Surg Oncol
April 2006
Department of Surgery, Comprehensive Breast Service, St. Luke's Roosevelt Medical Center, 425 West 59th Street Suite 7A, New York, New York 10019, USA.
Article Synopsis
- The management of nonpalpable papillary lesions detected through breast biopsies is debated, prompting a review of surgical excision indications.
- A study analyzed 120 biopsy samples from 109 patients, revealing that 24% of the lesions had malignancy during surgical excision, with varying rates depending on the biopsy method used.
- The findings indicate that malignancy is common in surgically excised papillary lesions and that stereotactic biopsies are associated with significantly lower rates of missed malignancy.
Management of melanoma metastasis to the breast: case series and review of the literature.
Br J Dermatol
June 2005
Skin Oncology Service, University Hospital Birmingham NHS Trust, Birmingham B29 6JD, UK.
Article Synopsis
- Metastases from melanoma to the breast are rare occurrences, with the study focusing on eight female patients aged 28-84 over 36 months.
- The time between the initial melanoma diagnosis and breast metastasis varied significantly, with some patients experiencing the breast lump as the first sign of melanoma recurrence.
- The study highlights the importance of histological confirmation for diagnosis and outlines management strategies, noting that several patients developed further metastases shortly after detection.