Document Detail

Percutaneous removal of malignant mammographic lesions at stereotactic vacuum-assisted biopsy.
MedLine Citation:
PMID:  9494489     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To determine whether complete percutaneous removal of a malignant lesion detected at mammography ensures complete excision of the carcinoma histopathologically. MATERIALS AND METHODS: A retrospective review was performed of 135 lesions in which stereotactic biopsy was performed with a directional, vacuum biopsy instrument and an 11-gauge probe followed by mammography. Carcinoma was diagnosed at stereotactic biopsy in 51 (38%) lesions. In 15 (29%) carcinomas, the lesion seen at mammography was removed at stereotactic biopsy. Surgical findings were available for correlation with biopsy and imaging findings in all 15 cases. Mammographic and histopathologic findings were reviewed. RESULTS: Mammographic findings were calcifications in 11 lesions and a mass in four lesions. The median lesion size was 0.7 cm (range, 0.2-1.4 cm), and the median number of biopsy specimens was 15 (range, 10-22 specimens). Histopathologic findings at stereotactic biopsy were ductal carcinoma in situ in 12 lesions and infiltrating ductal carcinoma in three. Surgery revealed residual carcinoma in 11 (73%) of 15 lesions, including all three infiltrating ductal carcinomas and eight of 12 ductal carcinoma in situ lesions. CONCLUSION: Complete removal of the mammographic lesion does not ensure complete excision of the carcinoma.
L Liberman; D D Dershaw; P P Rosen; E A Morris; A F Abramson; P I Borgen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  206     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1998 Mar 
Date Detail:
Created Date:  1998-03-26     Completed Date:  1998-03-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  711-5     Citation Subset:  AIM; IM    
Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
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MeSH Terms
Biopsy, Needle / instrumentation,  methods*
Breast / pathology*
Breast Neoplasms / pathology*,  radiography,  surgery
Carcinoma in Situ / pathology*,  radiography,  surgery
Carcinoma, Ductal, Breast / pathology*,  radiography,  surgery
Mammography / methods
Middle Aged
Neoplasm, Residual
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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