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15. Image-guided breast biopsy.

G Ralleigh1, M J Michell

  • 1Department of Radiology, King's College Hospital, London, UK.

International Journal of Clinical Practice
|November 12, 2002
PubMed
Summary
This summary is machine-generated.

Image-guided percutaneous biopsy is a cost-effective alternative to surgical biopsy for detecting breast cancers found through mammographic screening. This minimally invasive technique aids in diagnosis and treatment planning for both impalpable and palpable breast lesions.

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Area of Science:

  • Radiology and Medical Imaging
  • Oncology
  • Pathology

Background:

  • Mammographic screening increases detection of impalpable breast cancers.
  • Percutaneous biopsy offers advantages over surgical biopsy, including cost savings and fewer procedures.
  • Image-guided biopsy is integral to the triple assessment protocol for breast lesions.

Purpose of the Study:

  • To highlight the benefits and techniques of image-guided percutaneous breast biopsy.
  • To emphasize its role in managing impalpable and palpable breast lesions.
  • To discuss the integration of image-guided biopsy within the triple assessment framework.

Main Methods:

  • Review of image-guided biopsy techniques: fine needle aspiration, automated needle-gun core biopsy, and vacuum-assisted large core biopsy.
  • Guidance modalities based on lesion visibility: ultrasound for ultrasound-visible lesions, stereotactic guidance for mammographically detected lesions.
  • Integration with clinical and imaging work-up as part of the triple assessment.

Main Results:

  • Image-guided biopsy is effective for both impalpable and palpable breast lesions.
  • Major complications associated with image-guided biopsy are infrequent.
  • Biopsy results typically guide further patient management.

Conclusions:

  • Image-guided percutaneous biopsy is a valuable, cost-effective tool in breast cancer diagnosis.
  • It reduces the need for surgical biopsies and associated operational burdens.
  • Discordance between biopsy results and clinical/imaging findings may necessitate repeat biopsy or surgical intervention.