Abstract
This article presents the results of the first 318 aspiration-guided breast macrobiopsies
performed using a dedicated table at the Antoine Lacassagne Cancer Center (Nice, France)
between January 2001 and November 2002.
A total of 288 procedures (90%) was performed for microcalcifications whereas that
of 30 (10%) was performed for isolated opacities. There were 170 American College
of Radiology (ACR) Category 4 (53.45%), 35 ACR 5 (11%), 111 ACR 3 (34.9%), and 2 ACR
2 lesions. There were 233 benign lesions that included 19 cases of atypical epithelial
hyperplasia. Of the 85 malignant lesions, 33 had an invasive component. Seven of the
atypical epithelial hyperplasia cases and all of the malignant lesions were managed
surgically. Atypical epithelial hyperplasia was underestimated in 28.57% of the cases;
ductal carcinomas in situ, in 21.15%. The positive predictive value of ACR 4 for the
diagnosis of malignancy was 24.7% (42/128 cases), versus that of 12.6% for ACR 3 (14/97
cases). Among the 233 benign lesions, 128 were classified as ACR 4 and 6 as ACR 5
(all of these procedures obviated surgery).
The advantages, drawbacks, and limitations of the technique are analyzed and indications
are discussed, particularly for ACR 3 lesions.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Is surgical excision necessary for atypical ductal hyperplasia of the breast diagnosed by Mammotome?.Am Surg. 2000; 180: 313-315
Agence Nationale d'Accréditation et d'Evaluation en Santé. Conduite à tenir diagnostic devant une image mammographique infra-clinique anormale. ANAES. Recommandations pour la pratique clinique. Paris 1998.
- Imagerie interventionnelle: indications, résultats et évaluation de la qualité.in: XXIIIemes journées Nationales de la Société Française de Sénologie et de Pathologie Mammaire. Strasbourg. 10–12 Octobre2001
- Stereotaxic vacuum core breast biopsy—experience of 560 patients.Swiss Surg. 2000; 6: 108-110
- Breast imaging reporting and data system: inter- and intraobserver variability in feature analysis and final assessment.AJR Am J Roentgenol. 2000; 174: 1769-1777
- Evaluation of 14 and 11 gauge directional, vacuum-assisted biopsy probes and 14 gauge biopsy guns in a breast parenchymal model.Radiology. 1997; 205: 203-208
- Atypical ductal hyperplasia: histologic underestimation of carcinoma in tissue harvested from impalpable breast lesions using II gauge stereotactically guided directional vacuum-assisted biopsy.AJR Am J Roentgenol. 1999; 172: 1405-1407
- Stereotactic breast biopsy: comparison of 14- and 11-gauge Mammotome probe performance and complication rates.Am Surg. 1997; 63: 988-995
- Mammotome core biopsy for mammary microcalcifications.Cancer. 2001; 91: 173-177
- Malignant mammographic lesions at stereotactic vacuum-assisted biopsy.Radiology. 1998; 206: 711-715
- Biopsies chirurgicales percutanées ABBI et microbiopsies 8 gauge assistées par le vide MIBB. L'expérience multidisciplinaire du Centre de Lutte Contre le Cancer de Bordeaux.J Le sein. 1999; 9: 118-125
- System ABBI: expérience française.in: 22èmes journées de la société française de sénologie et de pathologie mammaire. Toulouse, 12–14 Octobre2000
- Use of the American College of Radiology BI-RADS to repeat the mammographic evaluation of women with signs and symptoms of breast disease.Radiology. 2000; 222: 536-542
- Evolution des biopsies stéréotaxiques des lésions mammaires non palpables. Premiers résultats sur table dédiée numérisée avec aiguilles de 14 G.Gynecol Obstet. 1999; 6: 1-6
- Minimally invasive stereotaxic vacuum core breast biopsy.Eur Radiol. 1998; 8: 377-385
- Atypical ductal hyperplasia diagnosed at stereotactic breast biopsy: improved reliability with 14-gauge, directional, vacuum-assisted biopsy.Radiology. 1997; 204: 485-488
- Stereotactic, automated, large-core needle biopsy of non palpable breast lesions: false-negative and histologic underestimation rates after long-term follow-up.Radiology. 1999; 210: 779-805
- Nonmalignant lesions in breast core needle biopsies.Am J Surg Pathol. 2002; 26: 1095-1110
- Timeliness of follow-up after abnormal screening mammography.Breast Res Treat. 1996; 40: 53-64
- Observer variability and applicability of BI-RADS terminobreast MR imaging: invasive carcinomas as focal masses.AJR Am J Roentgenol. 2001; 177: 551-557
- Clip placement after stereotactic vacuum-assisted breast biopsy.Radiology. 1997; 205: 417-422
- Percutaneous removal of malignant mammographic lesions at stereotactic vacuum-assisted biopsy.Radiology. 1998; 206: 711-715
- Lobular carcinoma in situ at percutaneous breast biopsy: surgical biopsy finding.AJR Am J Roentgenol. 1999; 173: 291-299
- Cost–effectiveness of stereotactic 11-gauge directional vacuum-assisted breast biopsy.AJR Am J Roentgenol. 2000; 175: 53-58
- Percutaneous imaging-guided core breast biopsy: state of the art at the millenium.AJR Am J Roentgenol. 2000; 174: 1191-1199
- Cross-institutional evaluation of BI-RADS predictive mode mammographic diagnosis of breast cancer.AJR Am J Roentgenol. 2002; 178: 457-463
- Biopsie mammaire assistée par aspiration. L'expérience des CRLCC Paul Papin (Angers) et René Gauducheau (Nantes).Journal Le Sein. 2001; 12: 133-143
- Objectivity and accuracy of mammogram interpretation using the BI-RADS final assessment categories in 40- to 49-year-old women.J Am Osteopath Assoc. 2000; 100: 615-620
- Stereotactic vacuum core biopsy of clustered microcalcific classified as BI-RADS 3.Rofo. 2001; 173: 696-701
- BI-RADS categorization as a predictor of malignancy.Radiology. 1999; 211: 845-850
- Comparison of rebiopsy rates after stereotactic core needle biopsy of the breast with 11-gauge vacuum suction probe versus 14-gauge needle and automatic gun.AJR Am J Roentgenol. 1999; 172: 683-687
- Core needle biopsy of challenging benign breast conditions: a comprehensive literature review.AJR Am J Roentgenol. 2000; 174: 1245-1250
- Apport des macrobiopsies stéréotaxiques par aspiration dans la prise en charge des microcalcifications mammaires: première série prospective de 115 cas.Gynecol Obstet Fertil. 2000; 28: 804-819
- Management of probably benign breast lesions.Radiol Clin North Am. 1995; 33: 1123-1330
- Stereotactic biopsy of ductal carcinoma in situ of the breast using an 11-gauge vacuum-assisted device: persistent underestimation of disease.AJR Am J Roentgenol. 1999; 173: 227-229
Article info
Publication history
Published online: November 02, 2005
Received in revised form:
August 10,
2005
Received:
June 20,
2005
Identification
Copyright
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
