New directions in breast biopsy: review of current minimally invasive methods and presentation of a new coaxial technique.
Minimally invasive core breast biopsy methods are replacing hook-wire-guided surgery wherever ultrasound and stereotactic equipment are available. Cost efficiency is improved, but sampling errors inherent in these techniques cause underestimations of malignancy and the degree of invasiveness in a small but significant number of patients. Diagnostic accuracy improves with increasing specimen weight. The trend is to take many cores. How much tissue is enough to enable a confident diagnosis? Recent research suggests that 1 g of tissue is sufficient. A new coaxial biopsy method presented here can retrieve a contiguous 1-g block of tissue from the center of a mammographic lesion, without stereotactic guidance. This specimen may be superior to multiple small cores obtained by biopsy guns and vacuum devices.
Russin
L D
LD
Department of Radiology, Noble Hospital, Westfield, MA 01086, USA. Linc4444@aol.com
D001706:Biopsy / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D001707:Biopsy, Needle / Q000191:economics / Q000295:instrumentation / Q000379:methods; D001940:Breast / Q000473:pathology*; D001941:Breast Diseases / Q000175:diagnosis / Q000473:pathology; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology*; D002278:Carcinoma in Situ / Q000175:diagnosis / Q000473:pathology; D018270:Carcinoma, Ductal, Breast / Q000175:diagnosis / Q000473:pathology; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D011187:Posture; D016217:Ultrasonography, Mammary