Palpable breast masses: Is there a role for percutaneous imaging-guided core biopsy? Journal Article
| Authors: | Liberman, L.; Ernberg, L. A.; Heerdt, A.; Zakowski, M. F.; Morris, E. A.; Latrenta, L. R.; Abramson, A. F.; Dershaw, D. D. |
| Article Title: | Palpable breast masses: Is there a role for percutaneous imaging-guided core biopsy? |
| Abstract: | OBJECTIVE. The purpose of this study was to evaluate percutaneous imaging-guided core biopsy in the assessment of selected palpable breast masses. MATERIALS AND METHODS. Of 1388 consecutive breast lesions that had percutaneous imaging-guided core biopsy, 155 (11%) were palpable. Palpable masses referred for percutaneous imaging-guided core biopsy included lesions that were small, deep, mobile, vaguely palpable, or multiple. Biopsy guidance was sonography in 140 lesions (90%) and stereotaxis in 15 (10%). Surgical correlation or minimum of 2 years follow-up is available in 115 palpable masses in 107 women. Medical records, imaging studies, and histologic findings were reviewed. RESULTS. Of 115 palpable breast masses, 98 (85%) were referred by surgeons to the radiology department for percutaneous imaging-guided core biopsy and 88 (77%) had percutaneous imaging-guided core biopsy on the day of initial evaluation at our institution. Percutaneous imaging-guided core biopsy spared additional diagnostic tissue sampling in 79 (74%) of 107 women, including 57 women with carcinoma and 22 women with benign findings. Percutaneous imaging-guided core biopsy did not spare additional tissue sampling in 28 women (26%), including 15 women in whom surgical biopsy was recommended on the basis of percutaneous biopsy findings and 13 women with benign (n = 7) or malignant (n = 6) percutaneous biopsy findings who chose to undergo diagnostic surgical biopsy. CONCLUSION. Percutaneous imaging-guided core biopsy is useful in the evaluation of palpable breast masses that are small, deep, mobile, vaguely palpable, or multiple. In this study, percutaneous imaging-guided core biopsy spared additional diagnostic tissue sampling in 74% women with palpable breast masses. |
| Keywords: | adult; aged; aged, 80 and over; middle aged; major clinical study; diagnostic procedure; echomammography; diagnostic imaging; breast neoplasms; diagnostic value; biopsy, needle; breast tumor; breast biopsy; breast diseases; palpation; humans; human; female; priority journal; article; stereotaxis |
| Journal Title: | American Journal of Roentgenology |
| Volume: | 175 |
| Issue: | 3 |
| ISSN: | 0361-803X |
| Publisher: | American Roentgen Ray Society |
| Date Published: | 2000-09-01 |
| Start Page: | 779 |
| End Page: | 787 |
| Language: | English |
| PUBMED: | 10954467 |
| PROVIDER: | scopus |
| DOI: | 10.2214/ajr.175.3.1750779 |
| DOI/URL: | |
| Notes: | Presented at the annual meeting of the American Roentgen Ray Society, Washington, DC, May 2000 -- Export Date: 18 November 2015 -- Source: Scopus |
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