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Related Experiment Videos

Interventional breast procedures

E S de Paredes1, T G Langer, J Cousins

  • 1Department of Radiology, Medical College of Virginia of Virginia Commonwealth University, USA.

Current Problems in Diagnostic Radiology
|October 30, 1998
PubMed
Summary
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Percutaneous breast biopsy offers histologic diagnoses for nonpalpable lesions, revolutionizing breast imaging. Careful patient and lesion selection, alongside technical considerations, ensure optimal biopsy outcomes and patient care.

Area of Science:

  • Radiology
  • Oncology
  • Pathology

Background:

  • Percutaneous needle biopsy has transformed breast imaging by enabling histologic diagnosis of nonpalpable lesions.
  • Radiologists performing these biopsies manage patient selection, procedure performance, result interpretation, and follow-up.
  • Evolving biopsy techniques necessitate careful consideration of patient and lesion selection for optimal outcomes.

Purpose of the Study:

  • To review the technical and interpretative aspects of percutaneous breast biopsy and needle localization for surgical biopsy.
  • To highlight critical considerations for patient and lesion selection in percutaneous breast procedures.
  • To discuss the advantages and limitations of various breast biopsy techniques.

Main Methods:

  • Review of percutaneous breast biopsy techniques, including core biopsy and fine-needle aspiration biopsy (FNAB).

Related Experiment Videos

  • Discussion of imaging guidance modalities (mammography, sonography) for nonpalpable lesion localization.
  • Emphasis on radiologist's role in lesion selection, biopsy performance, and interpretation.

    • Main Results:

    • Percutaneous biopsy is advantageous for diagnosing multicentric breast cancer, offering a less invasive and costly alternative to surgical biopsy.
    • Certain lesions, like architectural distortion or specific microcalcifications, are better treated by excision.
    • Imaging-guided localization is crucial for precise needle placement in nonpalpable lesions.

    Conclusions:

    • Percutaneous breast biopsy is a powerful tool, but careful selection of patients and lesions is paramount.
    • Technical considerations and operator skill significantly impact biopsy success.
    • Accurate preoperative needle localization aids surgeons, ensuring efficient procedures and optimal cosmetic results.