A comparison of diagnostic performance of vacuum-assisted biopsy and core needle biopsy for breast microcalcification: a systematic review and meta-analysis

Huang, Xu Chen; Hu, Xu; Wang, Xiao Ran; Zhou, Chao Xi; Wang, Feifei; Yang, Shan; Wang, Gui Ying

doi:10.1007/s11845-018-1781-6

Cited by 17 publications

(15 citation statements)

References 52 publications

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“…Furthermore, it has been reported that the learning curve time of VABB (4 weeks) is shorter than that of CNB (12 weeks) (16), and that there is a greater amount of tissue removed. Also, US-guided localization surgery is more suitable for in situ cancers, invasive cancers which need neoadjuvant therapy and more accurate evaluation of neoadjuvant therapy response (17)(18)(19)(20)(21). Compared to the negative predictive value and false negative rate of open surgical biopsy (99.61% and 4.76%), the negative predictive value of VABB was 99.77% and the false negative rate was 0.96% (22).…”

Section: Discussionmentioning

confidence: 99%

The influence of preoperative biopsy on the surgical method in breast cancer patients: a single-center experience of 3,966 cases in China

et al. 2021

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Background: The National Surgical Adjuvant Breast and Bowel Project (NSABP) B32 trial reported that the detection rate of sentinel lymph nodes by core needle biopsy (CNB) is higher than that by segmental resection. However, there are few reports regarding the detection rate of sentinel lymph nodes by vacuumassisted breast biopsy (VABB). Therefore, we analyzed the impact of preoperative biopsy methods on the surgical modes of 3,966 patients with breast cancer in our center. Methods: In total, 3,966 female breast cancer patients [clinical tumor node metastasis (TNM) stage I-III] were enrolled in this study. Preoperative pathological diagnosis methods included fine needle aspiration (FNA) biopsy, CNB, excision biopsy, and VABB. According to the time of diagnosis. The data were analysis by chi square test, variance analysis and the Kaplan-Meier time series in SPSS 22.0.Results: There was a decrease in the number of patients that underwent excision biopsy (7.3% to 2.7%) and intraoperative freezing (89.4% to 28.9%) over time, while CNB exhibited an increasing trend (1.6% to 55.3%). The positive rates of VABB, CNB, excision biopsy, and FNA were 99.5%, 97.1%, 97.9%, and 82.2%, respectively, and the false negative rates were 0%, 1.8%, 0.34%, and 8.9%, respectively. The overall breast-conserving rate was 36.7%, while the breast-conserving rate for VABB was 57.1%. The axillary sentinel lymph node biopsy rate of cN0 patients was 48.3%, and the intraoperative frozen group (36.7%) and excision biopsy group (39.5%) were lower than the CNB (57.1%) and VABB (77.9%) groups. Until December 2019, there were 350 cases with tumor recurrence or metastasis. The methods of biopsy were not correlated to the cumulative survival time.Conclusions: Changes to the diagnosis and treatment of breast cancer has a profound impact on the method of tumor biopsy. VABB biopsy offers advantages such as accurate diagnosis, a greater volume of tissue taken at one time, minimally invasive and repeatable, and does not affect the surgical approach and prognosis of patients. It will gradually become the primary method of preoperative pathological evaluation of breast cancer.

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Section: Discussionmentioning

confidence: 99%

The influence of preoperative biopsy on the surgical method in breast cancer patients: a single-center experience of 3,966 cases in China

et al. 2021

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“…An adequate amount tissue significantly affects the diagnostic accordance rate [ 6 , 18 ]. Therefore, vacuum-assisted biopsy has a higher diagnostic accuracy rate and better safety, when compared to core needle biopsy [ 5 ]. Accurate preoperative diagnosis is essential for treatment decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…Vacuum-assisted Mammotome biopsy can obtain sufficient samples without repeated puncture. Hence, the diagnostic accuracy is high [ 5 , 6 ]. However, it requires expensive special equipment (vacuum pumps, operating handles, etc.…”

Section: Introductionmentioning

confidence: 99%

A comparative study on ultrasound-guided elite, Mammotome, and core needle biopsy for diagnosing malignant breast masses

et al. 2019

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Introduction: The present study aims to clarify the advantages and disadvantages of elite biopsy, to provide a reference for selecting the puncture method. Material and methods: A total of 802 patients with a BI-RADS grade ≥ 4, as evaluated by the molybdenum target, and measurable lesions revealed by colour Doppler ultrasound, who were admitted at our department from January 2017 to January 2018, were enrolled in the present study. These patients were randomly divided into three groups: elite, Mammotome and core needle biopsy groups. The pathological underestimation rate, diagnostic accordance rate, haematoma incidence rate, and costs of these three biopsy methods were compared. Results: The difference in diagnostic accordance rates between the elite biopsy group and core needle biopsy group was statistically significant (98.9% vs. 94.7%, p = 0.003), as well as between the Mammotome biopsy group and core needle biopsy group (99.6% vs. 94.7%, p < 0.001). The difference in pathological underestimation rates between the elite biopsy group and core needle biopsy group was statistically significant (7.2% vs. 37.3%, p < 0.001), as well as between the Mammotome biopsy group and core needle biopsy group (1.6% vs. 7.2%, p < 0.001). The difference between the Mammotome biopsy group and elite biopsy group was not statistically significant. The incidence of haematoma in the Mommotome, elite, and core needle groups was 15.9%, 13%, and 21.7%, respectively (13% vs. 21.7%, p = 0.021). Conclusions: Elite biopsy has a low rate of pathological underestimation and low incidence of haematoma, can improve the breast conserving rate, and has an affordable cost. As a biopsy method with high accuracy, safety, and economy, elite biopsy can be widely used in clinics.

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“…The vacuum system and larger gauge needles are associated with higher-quality samples, while the greater volume of tissue collected by VAB minimizes sampling error and compensates sampling error due to patient movement or due to deep injection of anesthetic. A recent meta-analysis has shown that VAB is related to lower Ductal carcinoma in situ (DCIS) underestimation rate compared to CNB (22.98% by CNB and 11.05% by VAB, p < 0.001) with higher rates of calcification retrieval (RR = 0.89, 95% CI 0.81 to 0.98, p = 0.02) [19]. The sensitivity and negative predictive value of VAB have been reported as high as >99% in a large retrospective study [17].…”

Section: Mammography-guided Biopsymentioning

confidence: 99%

Image-Guided Percutaneous Biopsies

Zanetta

2021

Modern Breast Cancer Imaging

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A comparison of diagnostic performance of vacuum-assisted biopsy and core needle biopsy for breast microcalcification: a systematic review and meta-analysis

Abstract: Compared with CNB, VAB shows better diagnostic performance in DCIS underestimation rate and microcalcification retrieval rate. However, CNB shows a significantly lower complication rate. More studies are needed to verify these findings.

Cited by 17 publications

References 52 publications

The influence of preoperative biopsy on the surgical method in breast cancer patients: a single-center experience of 3,966 cases in China

The influence of preoperative biopsy on the surgical method in breast cancer patients: a single-center experience of 3,966 cases in China

A comparative study on ultrasound-guided elite, Mammotome, and core needle biopsy for diagnosing malignant breast masses

Image-Guided Percutaneous Biopsies

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