title: An alternative approach to nonpalpable breast biopsies.
abstract: Traditionally, when a negative specimen radiograph is obtained during biopsy of a nonpalpable breast lesion, immediate re-excision is performed in an attempt to successfully remove the lesion. Based on a retrospective study of the biopsy results of 792 nonpalpable breast lesions, the authors suggest delaying the re-excision, despite a negative specimen x-ray, until postoperative mammography confirms the persistence of the lesion. Utilization of this approach was associated with a comparably low incidence of missed lesions (3%) and had the added advantages of preserving breast tissue and decreasing operative time.
authors.affiliation: Department of Surgery, Evanston Hospital, IL 60201.
authors.forename: S E
authors.initials: SE
authors.lastname: Reid
authors.forename: E F
authors.initials: EF
authors.lastname: Scanlon
authors.forename: J R
authors.initials: JR
authors.lastname: Bernstein
authors.forename: M L
authors.initials: ML
authors.lastname: Paige
authors.forename: J
authors.initials: J
authors.lastname: Matsumura
authors.forename: L
authors.initials: L
authors.lastname: Bailey
mesh_terms: D001706:Biopsy; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000000981:diagnostic imaging / Q000473:pathology; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D008327:Mammography; D012189:Retrospective Studies