Non-stereotactic method involving combination of ultrasound-guided wire localization and vacuum-assisted breast biopsy for microcalcification

Lee, Jeeyeon; Park, Ho Yong; Jung, Jin Hyang; Kim, Wan Wook; Hwang, Seung-Hyun; Kwon, Taek Ju; Chung, Jin Ho; Bae, Yong Chan

doi:10.21037/gs.2015.12.02

Cited by 5 publications

(6 citation statements)

References 21 publications

(23 reference statements)

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“…These lesions should first be definitively diagnosed by using image-guided needle biopsy. For these lesions stereotactic method has been used for decades 20 . After needle localization, two mammographic views are taken in order to provide a road-map to the surgeon for the specimen removal.…”

Section: Discussionmentioning

confidence: 99%

“…Preoperative placement of a hook wire into nonpalpable lesions under imaging guidance is, in privileged counties, commonly performed for patients with suspected findings on mammograms and/or ultrasound for breast cancer. 19,20 This is a highly technical and technology dependent procedure. In a country with limited resources and facilities we attempted to conserve breast as well as provide adequate treatment to our patients with early detected tumours.…”

Section: Discussionmentioning

confidence: 99%

“…But stereotactic device is expensive and can only be used by an expert radiologist. Hence the linear of cluster of microcalcification that can not be picked up ultrasonography can easily be handled 20 . During the core biopsy from these lesions marker clips are to be ideally put.…”

Section: Discussionmentioning

confidence: 99%

“…These clips further helps radiologists to locate the lesion during needle localization. Furthermore, after the excision the scecimen is oriented with clips and then specimen imaging is performed to confirm the lesion is excised with atleast 1 cm margin 20 . Till date, we do not have facilities for stereotactic mammography, marker clips during needle biopsy or specimen imaging.…”

Section: Discussionmentioning

confidence: 99%

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Wire Guided Wide Local Excision of Clinically Undetectable Breast Cancer - Initial Experience in Bangladesh

et al. 2020

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Background: With the rise of awareness of breast cancer and better screening mammography, there are increasing number of breast cancers detected before becoming clinically evident. These cancers are mostly treated by wide local excision under guidance of a wire which is put with mammogram and/or USG. In Bangladesh this procedure has never been done. We started it in Surgical Oncology Division in BSMMU with the collaboration of Department of Radiology. Methods: We have performed the procedure on 7 patients within 19 months. All of them had USG and mammography detected small lesions. The average size being 7.24mm. From needle biopsy 3 cases showed suspicious cytology, 4 had IDCC, and 1 had DCIS. Wire was put in all cases under USG guidance. Wire Guided Wide Local Excision was performed in all cases. $ patients underwent SLNB. Results: The age range was between 26 to 55 years with the average age of 43.86 years. 4 of them being post-menopausal. One case came benign. Other were malignant with clear margins. One case had close margin, which was later re-excised. All cases were sent for adjuvant therapy. Histopathology showed 4 patients of invasive ductal carcinoma, 1 patient each of invasive lobular carcinoma, DCIS and 1 being benign. Conclusion: This well-established procedure can be performed in Bangladesh to meet the goal of ensuring adequate treatment and cosmesis of the patients with impalpable cancer, amidst constrained facilities. Journal of Surgical Sciences (2019) Vol. 23(2): 81-86

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Wire Guided Wide Local Excision of Clinically Undetectable Breast Cancer - Initial Experience in Bangladesh

et al. 2020

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“…Various methods have been developed to be able to perform biopsies of microcalcifications under US guidance. One of these is the method described by Lee et al of vacuum biopsy performed after placement of a wire under US guidance [16]. However, the expensive vacuum needle biopsy is again used in this method, and another interventional procedure is performed for placement and removal of the wire.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography Findings of Breast Microcalcifications without Accompanying Mass and Evaluation of Ultrasound-Guided Biopsy Results

et al. 2020

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Objective: Ultrasonography guided core needle biopsy is a real-time, inexpensive method with higher patient comfort. The aim of this study was to evaluate ultrasonography findings of microcalcifications without accompanying mass and also to investigate the accuracy of ultrasonography guided core needle biopsy results. Materials and Methods: The study included a total of 54 patients, with microcalcifications observed on mammography and no accompanying mass, who underwent ultrasonography guided core needle biopsy and surgical excision. Core needle biopsy specimen x-rays were obtained from 23 patients. In 11 patients, the location of microcalcification was confirmed by mammography following the administration of contrast agent under ultrasonography guidance. Ultrasonography findings of microcalcifications were identified. The results of ultrasonography guided core needle biopsy were compared with the excisional pathology results. Results: The microcalcifications without accompanying mass were presented with punctate echogenous foci, hypoechoic area, small distortion, ductal abnormality or fibrocystic changes on ultrasonography. Hypoechoic area and distortion were seen more in malignant lesions, and fibrocystic changes and ductal abnormalities in benign lesions but the difference was not statistically significant. The agreement between ultrasonography guided core needle biopsy and the excisional pathology results was high (Kappa = 0.781). When a specimen x-ray was obtained or core needle biopsy was performed after confirming the location of the microcalcifications with the use of contrast agent, Kappa values were even higher (0.87 and 1, respectively). Conclusions: Microcalcifications can be seen with targeted ultrasonography imaging and ultrasonography guided core needle biopsy has high accuracy. Taking a specimen x-ray, or biopsy performed after identifying of the location of microcalcifications with a trace amount of contrast agent, can increase the accuracy of ultrasonography guided core needle biopsy.

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Advances in Ultrasound-Guided Vacuum-Assisted Biopsy of Breast Microcalcifications

Kong

Shen

et al. 2021

Ultrasound in Medicine & Biology

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Non-stereotactic method involving combination of ultrasound-guided wire localization and vacuum-assisted breast biopsy for microcalcification

Abstract: "Microcalcification-only" breast lesions can be easily evaluated with the combination of non-stereotactic US-guided wire localization and VABB. This would be an effective diagnostic technique for breast lesion which reveals only microcalcification.

Cited by 5 publications

References 21 publications

Wire Guided Wide Local Excision of Clinically Undetectable Breast Cancer - Initial Experience in Bangladesh

Wire Guided Wide Local Excision of Clinically Undetectable Breast Cancer - Initial Experience in Bangladesh

Ultrasonography Findings of Breast Microcalcifications without Accompanying Mass and Evaluation of Ultrasound-Guided Biopsy Results

Advances in Ultrasound-Guided Vacuum-Assisted Biopsy of Breast Microcalcifications

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