[Interventional methods in diagnostics of the breast -- a new vacuum biopsy system for the breast in routine clinical practice].
OBJECTIVE
To evaluate the diagnostic potential of the new vacuum-assisted method VacuFlash (VF) in clinical routine of breast diagnostics.


METHODS
From april 2002 to march 2003, the new sonographically guided vacuum-assisted system VacuFlash was used in 75 patients with a BI-RADS 5 lesion (analogue). The patients were aged between 31-75 yrs (median: 51 yrs), the size of the lesions measured 8-33 mm (median: 14 mm). 5 specimens were taken from each lesion.


RESULTS
In 69 of the 75 lesions (92 %, respectively), malignancy was confirmed. In 8 lesions (8 %, resp.), we found a benign histology, confirmed by consecutive surgery.


CONCLUSIONS
The new vacuum-assisted device VacuFlash is a technically perfected and applicable diagnostic method. Especially in the view of the cost it has to be compared with high-speed core cut biopsy, the hand-held Mammotome system and open surgical biopsy. High-speed core cut biopsy seems to be the standard procedure in diagnostic percutaneous breast intervention to clarify sonographically detected breast lesions.
Schulz-Wendtland
R
R
Radiologisches Institut der Friedrich-Alexander-Universität Erlangen-Nürnberg. Ruediger.Schulz-wendtland@idr.imed.uni-erlangen.de
Wenkel
E
E
Imhoff
K
K
Bani
M
M
Bock
K
K
Degenhardt
F
F
Bautz
W
W
D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D001940:Breast / Q000166:cytology* / Q000473:pathology; D001941:Breast Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D016217:Ultrasonography, Mammary; D014618:Vacuum