Localization Methods for Excisional Biopsy in Women With Nonpalpable Mammographic Abnormalities
| Autor: | Mariah Cruse, Minh Nguyen, Eric Reintgen, Joseph Kastrenakes, Iman Soliman, C.J. Augustine, Divya Desai, Alexa Hoadley, Alexis Ludy, Douglas Reintgen, Christine Rodhouse |
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| Rok vydání: | 2017 |
| Předmět: |
Breast biopsy
Cancer Research medicine.medical_specialty Biopsy medicine.medical_treatment Breast Neoplasms Mastectomy Segmental Clinical correlation 03 medical and health sciences Breast cancer screening 0302 clinical medicine Breast cancer Humans Medicine Local anesthesia Breast Neoplasm Staging Palpation medicine.diagnostic_test business.industry Biopsy Needle Lumpectomy Cancer Prognosis medicine.disease Surgery Oncology 030220 oncology & carcinogenesis Feasibility Studies Female 030211 gastroenterology & hepatology business Follow-Up Studies Mammography |
| Zdroj: | Clinical Breast Cancer. 17:18-22 |
| ISSN: | 1526-8209 |
| DOI: | 10.1016/j.clbc.2016.10.007 |
| Popis: | Introduction With the advent and proliferation of breast cancer screening programs, more women are being diagnosed with mammographic abnormalities that require tissue diagnosis. If imaged-guided biopsy is not possible or previous image-guided biopsies reveal pathologies that require more extensive surgery, guided excisional biopsy/lumpectomy may be necessary. Methods Fifteen women were enrolled in the study of the feasibility of off-site or day-before wire-localization excisional biopsy of the breast with mammographic abnormalities. Five patients had their localization wire placed the day before, whereas 10 patients had their localization the same day with surgery in a distant procedure room under straight local anesthesia. Results Two of the 15 patients had an eventual cancer diagnosis from their wire-localized excisional breast biopsy. All patients had their mammographic abnormality removed with the previously placed core biopsy clip, and there was 100% radiologic/clinical correlation. All patients' wounds healed primarily without any surgical site infections. Conclusion The protocol answers 2 questions concerning the wire-localized excisional breast biopsy technique. The series shows that the wire-localization technique can be performed the night before or in a location away from the procedure room that would allow better synchronization with surgical schedules or allow the procedure to take place in low-cost settings away from the expense of the hospital operating room. |
| Databáze: | OpenAIRE |
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