title: Stereotactic core breast biopsy of a minimal carcinoma complicated by a large hematoma: a management dilemma.
abstract: Stereotactic core biopsy of a 4-5-mm, suspicious mammographic lesion was complicated by substantial hematoma formation in a patient with subsequently diagnosed factor XI deficiency. As a result, the small infiltrating ductal carcinoma could no longer be identified at mammography to allow accurate needle localization for lumpectomy. Sufficient resorption of the hematoma at 3 months permitted successful needle localization and lumpectomy. In these cases, expectant management may obviate extensive surgery.
authors.affiliation: Department of Radiology, Jacqueline M. Wilentz Comprehensive Breast Center, Monmouth Medical Center, Long Branch, NJ 07740, USA.
authors.forename: B M
authors.initials: BM
authors.lastname: Deutch
authors.forename: M R
authors.initials: MR
authors.lastname: Schwartz
authors.forename: T
authors.initials: T
authors.lastname: Fodera
authors.forename: D M
authors.initials: DM
authors.lastname: Ray
mesh_terms: D001706:Biopsy / Q000009:adverse effects; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005173:Factor XI Deficiency / Q000150:complications; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D013238:Stereotaxic Techniques