Mf. Levin et al., Stereotaxic percutaneous core biopsy versus surgical biopsy of nonpalpablebreast lesions using a standard mammographic table with an add-on device, CAN ASSOC R, 52(1), 2001, pp. 29-32
Citations number
10
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging
Journal title
CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES
Objective: To determine the accuracy of using a regular mammographic table
with an add-on device for biopsy of nonpalpable breast lesions in women in
a community hospital setting. Patients and methods: During a 3-year period,
70 consenting women (39-80 years of age) with a nonpalpable mammographical
ly suspicious lesion on routine screening mammography underwent 14-gauge au
tomated percutaneous core biopsies, immediate needle localization and lumpe
ctomy. The needle and surgical biopsy results were independently classified
into 1 of 5 categories: cancer, fibroadenoma, fibrocystic change, normal o
r other. Results: The procedure was well tolerated, and all core specimens
yielded adequate tissue for pathologic evaluation. There were 3 episodes of
vasovagal reaction. There was complete agreement in histologic findings in
64 cases (91%), including 22 of 24 cancers (92%). The overall agreement fo
r categorizing lesions was 91% (kappa = 0.88), and there was 97% agreement
(kappa = 0.94) for the classification of cancer versus benign lesion. Concl
usion: The results are similar to those of studies performed with dedicated
prone equipment. Stereotaxic core biopsies can be done safely and accurate
ly in a community hospital setting with relatively inexpensive nondedicated
mammographic equipment.