Vacuum-assisted breast biopsy in close proximity to the skin: a case report

详细信息    查看全文

• 作者：Flora Zagouri (1)
  Theodoros N Sergentanis (1)
  Dimitra Koulocheri (1)
  Georgia Giannakopoulou (1)
  Aphrodite Nonni (2)
  Dimitrios Dardamanis (1)
  Nikolaos V Michalopoulos (1)
  Ioannis Flessas (1)
  John Bramis (1)
  George C Zografos (1)
  
• 刊名：Journal of Medical Case Reports
• 出版年：2008
• 出版时间：December 2008
• 年：2008
• 卷：2
• 期：1
• 全文大小：273KB
• 参考文献：1. Hoorntje LE, Peeters PH, Mali WP, Borel Rinkes IH: Vacuum-assisted breast biopsy: a critical review. / Eur J Cancer 2003, 39:1676鈥?683. CrossRef
  2. Mendez A, Cabanillas F, Echenique M, Malekshamran K, Perez I, Ramos E: Mammographic features and correlation with biopsy findings using 11-gauge stereotactic vacuum-assisted breast biopsy (SVABB). / Ann Oncol 2004, 15:450鈥?54. CrossRef
  3. Zografos GC, Zagouri F, Sergentanis TN, Koulocheri D, Nonni A, Oikonomou V, Domeyer P, Kotsani M, Fotiadis C, Bramis J: Is zero underestimation feasible? Extended Vacuum-Assisted Breast Biopsy in solid lesions 鈥?a blind study. / World J Surg Oncol 2007, 5:53. CrossRef
  4. Zografos GC, Zagouri F, Sergentanis TN, Nonni A, Koulocheri D, Fotou M, Panopoulou E, Pararas N, Fotiadis C, Bramis J: Minimizing underestimation rate of microcalcifications excised via vacuum-assisted breast biopsy: a blind study. / Breast Cancer Res Treat 2007, in press.
  5. Dhillon MS, Bradley SA, England DW: Mammotome biopsy: impact on preoperative diagnosis rate. / Clin Radiol 2006, 61:469鈥?74.
  6. Liberman L: Stereotactic Core Biopsy. In / Imaging-Guided Interventional Breast Techniques. Edited by: Dershaw D. New York: Springer; 2003:87鈥?18. CrossRef
  7. Heywang-K枚brunner SH, Schreer I, Decker T, B枚cker W: Interdisciplinary consensus on the use and technique of vacuum-assisted stereotactic breast biopsy. / Eur J Radiol 2003, 47:232鈥?36. CrossRef
  8. Zagouri F, Sergentanis TN, Gounaris A, Koulocheri D, Nonni A, Domeyer P, Fotiadis C, Bramis J, Zografos GC: Pain in different methods of breast biopsy: Emphasis on vacuum-assisted breast biopsy. / Breast 2008, 17:71鈥?. CrossRef
  
• 作者单位：Flora Zagouri (1)
  Theodoros N Sergentanis (1)
  Dimitra Koulocheri (1)
  Georgia Giannakopoulou (1)
  Aphrodite Nonni (2)
  Dimitrios Dardamanis (1)
  Nikolaos V Michalopoulos (1)
  Ioannis Flessas (1)
  John Bramis (1)
  George C Zografos (1)
  
  1. Breast Unit, 1st Department of Propaedeutic Surgery, Hippokratio Hospital, School of Medicine, University of Athens, Greece
  2. First Department of Pathology, School of Medicine, University of Athens, Greece
  

文摘

Introduction Vacuum-assisted breast biopsy is a minimally invasive technique used increasingly for the assessment of mammographically detected, non-palpable breast lesions. The effectiveness of vacuum-assisted breast biopsy has been demonstrated on lesions both with and without microcalcifications. Given that the position of the lesion represents a major factor in stereotactic vacuum-assisted breast biopsy, targeting lesions in close proximity to the skin (superficial lesions) has been described as a problematic issue. Case presentation A 53-year-old woman presented with a newly developed, non-palpable lesion in her left breast. The lesion consisted of widely spread microcalcifications located approximately 5 mm from the skin. The lesion was isoechoic on ultrasound examination. Vacuum-assisted breast biopsy was scheduled (on the Fischer's table, using 11-gauge probes, under local anaesthesia). The vacuum-assisted breast biopsy probe was inserted antidiametrically into the breast, the probe reached the lesion and effort was made to excise the microcalcifications. As only a small proportion of the microcalcifications were excised an accurate diagnosis could not be expected. However, with the probe having entered the breast antidiametrically, the probe tip underlying the skin could be palpated. Following the palpation of the tip, the exact point was marked by a pen, the probe was removed and the patient was transferred to the surgery room to have the remaining lesion removed by a spindle-form excision under local anaesthesia. The mammogram of the removed specimen confirmed the total excision of the suspicious microcalcifications. Conclusion Isoechoic superficial lesions can be localized with a hook-wire and open breast biopsy under general or local anaesthesia can be performed. However, vacuum-assisted breast biopsy might offer an alternative solution and serve as an alternative approach to localize the lesion. The clinical significance of the present exploratory effort remains to be assessed in the future.