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 sm...

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Detalles Bibliográficos
Publicado en:Seminars in Ultrasound, CT & MRI Vol. 21; no. 5; pp. 395 - 404
Autor principal: Russin LD
Formato: diagnostic images pictorial Journal Article
Publicado: Elsevier B.V. 2000 Oct
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario: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. Copyright © 2000 by W.B. Saunders Company Copyright © 2000 by W.B. Saunders Company