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08-Mar-2007
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Arch Hellen Med, 23(4), July-August 2006, 375-378 ORIGINAL PAPER Use of vacuum assisted biopsy for non-palpable breast lesions G. ZOGRAFOS,1 D. KOULOHERI,2 E. MESSARIS,1 P. ANTONAKIS,1 P. GIANNOPOULOS,1 N. PARARAS,1 |
OBJECTIVE To evaluate the use of vacuum assisted breast biopsy in patients with non-palpable breast lesions.
METHOD Patients examined in the Breast Unit of the University of Athens, 1st Department of Propedeutic Surgery and found to have non-palpable lesions that mammographically scored Bi Rads 3 or 4 were included in the study.
RESULTS Thirty-two patients underwent vacuum assisted breast biopsy. In most (62.5%) the lesions were multiformatted microcalcifications, in 11 (34.3%) they were small nodules and in one the lesion was a nodule that contained microcalcifications (3.1%). In situ ductal carcinoma was the diagnosis in 4 (12.5%) patients, 1 patient (3.25) suffered from invasive carcinoma, 3 from adenosis (9.3%), 1 (3.1%) from atypical epithelial hyperplasia and the rest (n=23, 71.8%) from benign lesions. Complications were present in 3.1% of the cases.
CONCLUSIONS Vacuum assisted biopsy of non-palpable breast lesions is a procedure which is easy to perform, and offers high sensitivity, specificity and safety in the diagnosis of early breast cancer.
Key words: Breast cancer, Non-palpable breast lesions, Vacuum assisted biopsy.