Minimally Invasive Breast Procedures: Practical Tips and Tricks

Huppe, Ashley; Brem, Rachel F.

doi:10.2214/ajr.19.22082

Cited by 14 publications

(8 citation statements)

References 66 publications

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“… 17 Both core biopsy and vacuum biopsy can be used in lesions smaller than 1.0 cm according to the individual case. 4 5 6 14 18 19 Vacuum-assisted biopsy is preferred in complex solid-cystic lesions with a solid component smaller than 1 cm, and core biopsy or VAB may be used in those with a solid extensive component, depending on availability and degree of suspicion. In polypoid intraductal lesions (suspected papilloma), VAB should be indicated as the diagnostic method, if available.…”

Section: Is It a Minimally Invasive Procedure?mentioning

confidence: 99%

“…The interpretation of imaging findings, the indication of the biopsy technique, the interpretation of results and the correlation of clinical, imaging and pathology may vary depending on whether the finding is due to screening in asymptomatic patients or patients with complaints, signs or symptoms on physical examination in a diagnostic situation. 4 5 …”

Section: Introductionmentioning

confidence: 99%

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Accurate diagnosis of breast lesions

Andrade

Lucena

Santos

et al. 2023

Rev Bras Ginecol Obstet

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Section: Is It a Minimally Invasive Procedure?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Accurate diagnosis of breast lesions

Andrade

Lucena

Santos

et al. 2023

Rev Bras Ginecol Obstet

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“…Therefore, more normal tissue or glands from a breast would be removed in traditional surgery. 16 It is inconvenient to use ultrasound during traditional surgery because the incision is located directly above the nodule. 17 It has been reported that methylene blue dye solution can be used for preoperative marking in traditional surgery.…”

Section: Advantages Of Ultrasound-guided Minimally Invasive Biopsy Ofmentioning

confidence: 99%

Clinical Value of Ultrasound-Guided Minimally Invasive Biopsy in the Diagnosis or Treatment of Breast Nodules

Gao¹,

Zhu

Xu³

et al. 2020

CMAR

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Purpose To explore the clinical value of ultrasound-guided minimally invasive biopsy of breast nodules for diagnosis and treatment of patients with no positive clinical signs on manual breast examination. Methods We performed a retrospective review of 136 patients with no signs on breast palpation who underwent ultrasound-guided minimally invasive biopsy. A total of 63 patients underwent breast nodule resection from October 2018 to December 2019 at the General Hospital of Central Theater Command of the People’s Liberation Army. Clinical data, including indications for minimally invasive biopsy or resection, pathological and surgical results were retrospectively analyzed. Results A total of 199 patients were studied; 136 underwent minimally invasive biopsy and 63 underwent resection. No severe surgical complications occurred. Minimally invasive biopsy of breast nodules was superior to resection with respect to operation time, incision length, and postoperative complication rate. Conclusion Ultrasound-guided minimally invasive biopsy of breast nodules is feasible for treatment of patients with negative breast nodules and can achieve accurate diagnosis and satisfactory resection.

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“…Percutaneous, image‐guided breast procedures are widely accepted as the standard of care by the American Society of Breast Surgeons and the American College of Radiology (ACR) for the pathologic diagnosis of both palpable and non‐palpable breast lesions 1 . While the majority of lesions assessed with core needle biopsy are definitively diagnosed as normal, benign or malignant, about 7% of screen‐detected specimens will return as breast lesions of uncertain malignant potential (B3).…”

Section: Introductionmentioning

confidence: 99%

Vacuum‐assisted excision biopsy for definitive diagnosis of breast lesions of uncertain malignant potential (B3 lesions) on core biopsy – A single centre Western Australian experience

et al. 2023

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Introduction In Australia, the usual approach to breast lesions where core biopsy returns an uncertain result (“B3” breast lesion) is to perform surgical diagnostic open biopsy (DOB). This is associated with patient time off work, costs of hospital admission, risks of general anaesthesia and surgical complications. The majority of B3 lesions return benign results following surgery. Vacuum assisted excision biopsy (VAEB) is a less invasive, lower cost alternative, and is standard of care for selected B3 lesions in the United Kingdom. Similar use of VAEB in Australia, could save many women unnecessary surgery. The aim of this study was to document our experience during the introduction of VAEB as an alternative to DOB for diagnosis of selected B3 lesions. Methods The multidisciplinary team developed an agreed VAEB pathway for selected B3 lesions. Technically accessible papillary lesions, mucocele‐like lesions and radial scars without atypia measuring ≤ 15mm were selected. Results Over a 7 month period, 18 women with 20 B3 lesions were offered VAEB. 16 women (18 lesions) chose VAEB over DOB. Papillomas were the commonest lesion type. All lesions were successfully sampled: 17/18 were benign. One lesion (6%) was upgraded to malignancy (ductal carcinoma in situ on VAEB, invasive ductal carcinoma at surgery). No major complications occurred. Patient satisfaction was high: 15/16 respondents would again choose VAEB over surgery. Conclusion VAEB is a patient‐preferred, safe, well‐tolerated, lower‐cost alternative to DOB for definitive diagnosis of selected B3 breast lesions.

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Minimally Invasive Breast Procedures: Practical Tips and Tricks

Cited by 14 publications

References 66 publications

Accurate diagnosis of breast lesions

Accurate diagnosis of breast lesions

Clinical Value of Ultrasound-Guided Minimally Invasive Biopsy in the Diagnosis or Treatment of Breast Nodules

Vacuum‐assisted excision biopsy for definitive diagnosis of breast lesions of uncertain malignant potential (B3 lesions) on core biopsy – A single centre Western Australian experience

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