Volume : V, Issue : VIII, August - 2015

Ultrasound–guided, Vacuum–assisted, Mammotme Breast Biopsy: An accurate technique in the diagnosis of Early breast lesion

Dr Suresh Kumar Thakur, Pro Vivek Choudhary

Abstract :

<p><p> Background: The aim of this study was to evaluate the diagnostic accuracy, feasibility and safety of mammotome vacuum biopsy under ultrasound–guidance for histological diagnosis of early east lesions. Methods: Patient with early east lesions diagnosed by physical examination, mammography and/or sonography underwent mammotome vacuum biopsy under ultrasound– guidance for histological evaluation. The patient with histological diagnosis of malignancy underwent definitive surgery; those with diagnosis of atypical hyperplasia underwent surgical biopsy. Histological findings of mammotome sampling were compared with the results of surgical biopsy and definitive surgery. The patient with benign lesions underwent a 6–month follow–up. Results: The biopsy protocol was completed in all cases. Out of 60 cases, the 21(35%) cases diagnosed as invasive carcinoma and 9 (15%) cases were in situ carcinoma. In 9 cases of in situ carcinoma the 2 cases were found as invasive carcinoma after definitive surgery. In remaining cases the 22(36.7%) lesions were found as benign and 8(13.3%) cases were atypical hyperplasia. The subsequent surgical biopsy of 8 atypical cases, the 2 cases were found as in situ carcinoma. Thereforein our study the diagnostic accuracy of mammotome vacuum biopsy under ultrasound–guidance was 96.7% and specificity was 100%. The overall failure rate of mammotome biopsy was 6.7% (4/60), this likely to be due to an error in the positioning of the needle. The 40% (n=24) patients described postprocedural pain and 18.4% (n=11) patients were found procedural bleeding; all incidents were mild in severity. Conclusion: We concluded that histological sampling of early east lesions by ultrasound–guided mammotome biopsy is very effective and minimally invasive procedure with less complication as well as patient’s tolerance and perceptions of the procedure were favorable</p></p>

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr Suresh Kumar Thakur, Pro. VivekChoudhary Ultrasound-Guided, Vacuum-Assisted, Mammotomebreast Biopsy: an Accurate Technique in the Diagnosis Ofearly Breast Lesion Indian Journal of Applied Research, Vol.5, Issue : 8 August 2015

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