Can US-guided vacuum-assisted biopsies be an alternative to diagnostic surgery in cases of nondiagnostic core needle biopsy [in French]

A comprehensive evaluation of the 8-gauge vacuum-assisted Mammotome® system for ultrasound-guided diagnostic biopsy and selective excision of breast lesions

“…In this regard, we highly recommend interval follow-up ultrasound surveillance of the area of the previous ultrasound-guided 8-gauge Mammotome ® biopsy at approximately six months after such a biopsy, as well as highly recommend consideration of placement of a microclip into the original biopsy site at the time of the previous ultrasound-guided 8-gauge Mammotome ® biopsy as a mechanism for aiding in the ongoing mammographic surveillance and/or future mammographic surveillance of such patients at an appropriately selected age. The importance for interval follow-up ultrasound surveillance is clearly demonstrated in the present series, and has been previously recognized by the authors of several of the other ultrasound-guided 8-gauge Mammotome ® biopsy papers [ 13 , 16 , 23 , 31 ].…”

“…Such practices have been rapidly adopted by those physicians involved in breast-specific health care and are now routinely considered a standard of care [ 1 ]. To date, only eight published reports (Table 6 ) can be found in the literature [ 13 , 14 , 16 , 23 , 27 , 31 - 33 ] that have formally evaluated the 8-gauge vacuum-assisted Mammotome ® breast biopsy device for ultrasound-guided applications, with all such reports comparing the 8-gauge system to that of the 11-gauge system. However, no single report has comprehensively detailed the results of a large number of consecutively conducted ultrasound-guided breast biopsies performed by a single operator and solely using the 8-gauge Mammotome ® breast biopsy system.…”

“…The majority of these reports have evaluated the 11-gauge Mammotome ® breast biopsy device [ 6 - 12 , 15 , 17 - 22 , 24 - 26 , 28 - 30 ]. To date, only eight reports evaluating the 8-gauge Mammotome ® breast biopsy device for ultrasound-guided applications have been published [ 13 , 14 , 16 , 23 , 27 , 31 - 33 ], with all such reports comparing the 8-gauge system to that of the 11-gauge system. However, no single report has comprehensively outlined the results of a large number of consecutively conducted ultrasound-guided breast biopsies performed by a single operator and solely using the 8-gauge Mammotome ® breast biopsy system.…”