title: [Hand-held ultrasound-guided vacuum biopsy of mammary lesions--first experiences].
abstract: OBJECTIVE
  Evaluation of indications for ultrasound guided hand-held Mammotome-biopsy.
  
  
  METHODS
  To achieve breast diagnosis 50 ultrasound guided hand-held Mammotome-biopsies were performed between January 3rd and April 4th, 2000.
  
  
  RESULTS
  34 patients presented with non-palpable, 16 with palpable breast lesions. The benign-to-malignant ratio was 80% to 20%. Complete removal of the lesion we established in 22 (44%) of all 50 procedures. Definitive breast diagnosis of malignancies was achieved in all but one case.
  
  
  CONCLUSIONS
  We regard the ultrasound guided hand-held Mammotome-biopsy as diagnostic and surgical instrument that provides the clinician with a flexible and easy to use method of accurate breast diagnosis. Lesions too small, superficial, or deep for conventional core biopsy are indications for a ultrasound guided Mammotome-biopsy as well as abnormalities where wide sampling is considered important or small fibroadenomas. However, standard of care for breast diagnosis remains the conventional hand-held 14-gauge-core-biopsy. For malignant lesions hand held mammotomy must be regarded as a diagnostic and not a therapeutic procedure.
authors.affiliation: Frauenklinik des St. Josefs-Hospitals, Wiesbaden. peterscheler1@medscape.com
authors.forename: P
authors.initials: P
authors.lastname: Scheler
authors.forename: B
authors.initials: B
authors.lastname: Pollow
authors.forename: M
authors.initials: M
authors.lastname: Hahn
authors.forename: R P
authors.initials: RP
authors.lastname: Kuner
authors.forename: A
authors.initials: A
authors.lastname: Fischer
authors.forename: G
authors.initials: G
authors.lastname: Hoffmann
mesh_terms: D001707:Biopsy, Needle / Q000295:instrumentation*; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D016022:Case-Control Studies; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011237:Predictive Value of Tests; D016217:Ultrasonography, Mammary / Q000379:methods*