B. Won et al., Stereotactic biopsy of ductal carcinoma in situ of the breast using an 11-gauge vacuum-assisted device: Persistent underestimation of disease, AM J ROENTG, 173(1), 1999, pp. 227-229
Citations number
9
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging","Medical Research Diagnosis & Treatment
OBJECTIVE. The purpose of this study was to compare the diagnostic accuracy
of 14-gauge automated gun and 11-gauge directional vacuum-assisted biopsy
techniques in the diagnosis of ductal carcinoma in situ of the breast.
MATERIALS AND METHODS. We retrospectively reviewed 41 consecutive lesions t
hat had been diagnosed as ductal carcinoma in situ using stereotactic needl
e biopsy. The first 21 lesions had been biopsied using a 14-gauge automated
gun; the remaining 20 lesions, using an 11-gauge vacuum-assisted device. S
urgical histopathologic results at lumpectomy were compared with the findin
gs at needle biopsy and defined as either concordant, when only ductal carc
inoma in situ (i.e., no evidence of invasive carcinoma) was evident at surg
ery, or discordant, when invasive carcinoma was found. One patient from the
automated gun group was lost to follow-up and was not included in the anal
ysis.
RESULTS. Invasive carcinoma was found at surgery in seven (35%) of the 20 c
ases diagnosed using the automated gun compared with three (15%) of the 20
cases diagnosed using the vacuum-assisted device (p =.13). In all three of
these discordant vacuum-assisted cases, only microinvasive disease was foun
d at surgery. However, in only two of the seven discordant automated gun ca
ses was only microinvasive disease found at surgery.
CONCLUSION. The 11-gauge directional vacuum-assisted biopsy technique may i
mprove the accuracy of ductal carcinoma in situ diagnosis. Underestimation
of disease still occurs, however.