Die handgeführte Vakuumbiopsie von Mammaläsionen unter sonographischer Kontrolle - erste Erfahrungen

Abstract

We regard the ultrasound guided hand-held Mammotome-biopsy as diagnostic and surgical instrument that provides the clinician with a flexible and easy to use method of accurate breast diagnosis. Lesions too small, superficial, or deep for conventional core biopsy are indications for a ultrasound guided Mammotome-biopsy as well as abnormalities where wide sampling is considered important or small fibroadenomas. However, standard of care for breast diagnosis remains the conventional hand-held 14-gauge-core-biopsy. For malignant lesions hand held mammotomy must be regarded as a diagnostic and not a therapeutic procedure.

Complete extirpation of benign breast lesions with an ultrasound‐guided vacuum biopsy system

“…microcalcifications)1, 2. The indication spectrum for ultrasound‐guided VB is still under discussion3, 4. A consensus recommendation for the indications of ultrasound‐guided VB was issued in 2005 by the Minimally Invasive Breast Procedures Study Group (Arbeitsgemeinschaft Minimalinvasive Mammainterventionen; AG MiMi) of the German Senology Society (Deutsche Gesellschaft für Senologie)5.…”

Aktuelle Leitlinien zur interventionellen Mammadiagnostik

“…Während die stereotaktisch geführte Vakuumbiopsie radiologisch sichtbarer Befunde, vor allem von Mikroverkalkungen, in der Routinediagnostik bereits etabliert ist [3], wird das Indikationsspektrum der sonographisch gesteuerten Vakuumbiopsie noch diskutiert [9]. Sonographisch sichtbar sind 80 aller Brustläsionen, sie sollten unter sonographischer Kontrolle geklärt werden.…”

Consensus recommendations for the use of vacuum-assisted breast biopsy under sonographic guidance

“…Whilst stereotactically guided VB is a well-established procedure [1,2], the scope of use for US-guided VB is still a matter of debate [3,4,14]. VB under radiological guidance has been available in Germany since 1998.…”