Journal List > J Korean Soc Radiol > v.64(1) > 1086969

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Lee, Kim, and Kim: Feasibility of Stereotactic Biopsy for Breast Lesions with the Patient in the Decubitus Position: Our Early Experience
Breast Radiology
Original Article

Journal of the Korean Society of Radiology 2011; 64(1): 75-81.

Published online: 31 January 2011

DOI: https://doi.org/10.3348/jksr.2011.64.1.75

Feasibility of Stereotactic Biopsy for Breast Lesions with the Patient in the Decubitus Position: Our Early Experience

Tae Kil Lee, M.D., Min Jung Kim, M.D., Eun Kyung Kim, M.D.

1Department of Radiology, Yonsei University College of Medicine, Korea.

Address reprint requests to: Min Jung Kim, M.D., Department of Radiology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea. Tel. 82-2-2228-7400, Fax. 82-2-393-3035, mines@yuhs.ac

Received 10 May 2010       Accepted 27 September 2010

Copyright © 2011 The Korean Society of Radiology

Abstract

Purpose

We performed add-on type stereotactic vaccum-assisted breast biopsy (SVABB) with the patient in the decubitus position and we determined the feasibility of SVABB according to the breast thickness, the vicinity of the lesion in relation to the chest wall and the histopathologic diagnosis, and we report here on our initial experience.

Materials and Methods

81 patients with 82 lesions underwent SVABB. We measured the distance of the lesion from the chest wall on the basis of mammography, and we evaluated the breast thickness on the basis of the magnified, stereotactic view. The histopathologic results and the rate of underestimating atypical findings and ductal carcinoma in situ were analyzed.

Results

The range of breast thickness was 12~61 mm on the magnified view and the range of breast thickness was 16~55 mm on the stereotactic view. The range of the distance of the lesion to the chest wall was 0~67 mm. The histopathologic results of SVABB demonstrated benign findings for 62 lesions, atypical findings for 10 lesions, ductal carcinoma in situ for 8 lesions and invasive ductal carcinoma for 2 lesions. The estimated underestimation rate was 30% (3/10) for the atypical finding and 0% (0/7) for ductal carcinoma in situ.

Conclusion

This study demonstrated the results of add-on type SVABB with the patient in the decubitus position and SVABB was successful for patients with various lesion locations and breast thicknesses.

Keywords: Biopsy, Mammography, Calcinosis, Carcinoma, Ductal, Breast

Figures and Tables

Fig. 1

Stereotatic vaccum assisted biopsy was performed on decubitus position.

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Fig. 2

Directional vaccum-assisted biopsy probe inserted perpendicular direction in relation to the compressed breast tissue plane.

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Fig. 3

To prevent of skin tear during the procedure, plastic skin protector (A, arrow in B) was applied.

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Fig. 4

A. Suspicious clustered microcalcifications(arrow) were depicted on magnification mammography.

B. Follow up magnification mammographic view after stereotactic biopy, marker inserted at calcification retrieval site.
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Table 1

BIRADS Category and the Pathologic Result of SVABB

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Note.—BIRADS = Breast imaing reporting and Data system , SVABB = Stereotatic vaccum-assisted breast biopsy, ADH = Atypical ductal hyperplasia, DCIS = Ductal carcinoma in situ, IDC = invasive ductal carcinoma

Table 2

Comparison of Pathologic Results between Calcification Group and Non-calcification Group

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Note.—ADH = Atypical ductal hyperplasia, DCIS = Ductal carcinoma in situ, IDC = invasive ductal carcinoma

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