Localization Methods for Excisional Biopsy in Women With Nonpalpable Mammographic Abnormalities

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• 作者：Christine Rodhouse ; Iman Soliman ; Mariah Cruse ; Joseph Kastrenakes ; C.J. Augustine ; Alexis Ludy ; Eric Reintgen ; Alexa Hoadley ; Divya Desai ; Minh Nguyen ; Douglas Scott Reintgen ; ^{dreintge@health.usf.edu}
• 关键词：Breast biopsy ; Health care costs ; Image-guidance ; Localization methods ; Mammographic abnormalities
• 刊名：Clinical Breast Cancer
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：17
• 期：1
• 页码：18-22
• 全文大小：1177 K
• 卷排序：17

文摘

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.MethodsFifteen 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.ResultsTwo 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.ConclusionThe 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.