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Stereotactic histologic biopsy in breasts with implants.

Roger J Jackman1, Robert L Lamm

  • 1Department of Radiology, Palo Alto Medical Clinic, 795 El Camino Real, Palo Alto, CA 94301, USA. jackman@pamc.org

Radiology
|January 5, 2002
PubMed
Summary

Stereotactic histologic biopsy is safe for patients with breast implants, with no reported complications. However, the procedure may be technically more challenging and potentially less accurate than in non-implant patients.

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Area of Science:

  • Radiology
  • Oncology
  • Breast Imaging

Background:

  • Breast implants are common, necessitating evaluation of biopsy techniques in these patients.
  • Stereotactic histologic biopsy is a standard diagnostic tool for breast lesions.

Purpose of the Study:

  • To assess the safety and technical feasibility of stereotactic histologic biopsy in breasts with implants.
  • To compare biopsy outcomes in breasts with and without implants.

Main Methods:

  • A retrospective review of 2,399 stereotactic histologic biopsies, with 31 in patients with breast implants.
  • Biopsies used automated large-core or directional vacuum-assisted devices on a dedicated table.
  • Follow-up included surgical excision and mammography.

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Main Results:

  • No implant ruptures, hematomas, infections, false-negative findings, or histologic underestimations occurred.
  • Biopsy in augmented breasts presented challenges: positioning (50% subglandular), single-view lesions (13%), negative calcifications on radiographs (10%), bleeding (6%), and small samples (10%).
  • Subpectoral implants had fewer positioning issues than subglandular implants.

Conclusions:

  • Stereotactic histologic biopsy is a safe procedure for women with breast implants.
  • Biopsy in breasts with implants is technically more difficult and may be less accurate than in non-augmented breasts.