Abstract
The widespread use of screening mammography has resulted in increased detection of nonpalpable breast lesions here in Japan. For the histopathologic work-up of these lesions, stereotactic core biopsy is essential as a minimally invasive diagnostic procedure. However, the number of facilities that provide this procedure cannot keep up with the increasing demand from patients.
Another issue is interpreting the results of the biopsy. With a histological diagnosis using needle samples, there is always a risk of underestimation or a false-negative result. To avoid missing cancers after stereotactic biopsy, it is important to check for sampling errors and for discrepancies between the radiologic and pathologic findings.
We are pushing for the rapid spread of an ideal form of stereotactic breast core biopsy (using prone-type units, digital methods, and vacuum-assisted breast biopsy devices) throughout Japan so that every patient can undergo this examination.
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Abbreviations
- CNB:
-
Core needle biopsy
- VAB:
-
Vacuum-assisted breast biopsy;
- US:
-
Ultrasound
- DCIS:
-
Ductal carcinomain situ
- BI-RADS:
-
Breast imaging reporting and data system
- FNAC:
-
Fine needle aspiration cytology
References
Researches on Quality and Efficacy Improvement of Breast Cancer Screening, Grant-in-aid for Cancer Research supported by the Ministry of Health, Labour and Welfare, Japan: Japanese guidelines for quality assurance in mammography screening. 2005.
Lieberman L, Gougoutas CA, Zakowski MF, LaTrenta LR, Abramson AF, Morris EA, Dershaw DD: Calcifications highly suggestive of malignancy: Comparison of breast biopsy methods.AJR 177:165–172, 2001.
American College of Radiology. Breast imaging reporting data system (BI-RADS), 2nd ed. Reston, VA: American College of Radiology, 1995.
Mizutani M, Tohyama T, Kamei K, Iwata H: A medical care system for mammographically detected microcalcifications associated with non-palpable breast lesions at Aichi cancer center.J Jpn Assoc Breast Cancer Screen 13:167–175, 2004 (in Japanese with English abstract).
Westenend PJ, Sever AR, Beekman-de Voider HJC, Liem SJ: A comparison of aspiration cytology and core needle biopsy in the evaluation of breast lesions.Cancer (Caner Cytopathol) 93:146–150, 2001.
Ibrahim AF, Bateman AC, Theaker JM, Low JL, Addis B, Tidbury P, Rubin C, Briley M, Royle GT: The role and histological classification of needle core biopsy in comparison with fine needle aspiration cytology in the preoperative assessment of impalpable breast lesions.J Clin Pathol 54:121–125, 2001.
Burbank F, Parker SH, Fogarty TJ: Stereotactic breast biopsy: improved tissue harvesting with the Mam-motome.Am Surg 62:738–744, 1996.
Ohsumi S, Takashima S, Aogi K, Ishizaki M, Mandai K: Breast biopsy for mammographically detected nonpalpable lesions using a vacuum-assisted biopsy device (Mammotome) and an upright-type stereotactic mammography unit.Jpn J Clin Oncol 31:527–531, 2001.
Kettritz U, Rotter K, Schreer I, Murauer M, Schulz-Wendtland R, Peter D, Heywang-Kobrunner SH: Stereotactic Vacuum-assisted breast biopsy in 2874 patients.Cancer 100:245–251, 2004.
Pfarl G, Helbich TH, Riedl CC, Wagner T, Gnant M, Rudas M, Lieberman L: Stereotactic 11-gauge vacuum-assisted breast biopsy: A validation study.AJR 179:1503–1507, 2002.
Shah VI, Raju U, Chitale D, Deshpande V, Gregory Nancy, Strand V: False-negative core needle biopsies of the breast.Cancer 97:1824–1831, 2003.
Jackman RJ, Burbank F, Parker SH, Evans III WP, Lechner MC, Richardson TR, Smid AA, Borofsky HB, Lee CH, Goldstein HM, Schilling KJ, Wray AB, Brem RF, Helbich TH, Lehrer DE, Adler SJ: Stereotactic breast biopsy of nonpalpable lesions: Determinants of ductal carcinoma in situ underestimation rates.Radiology 218:497–502, 2001.
Takahashi K: Breast conserving therapy for ductal carcinoma in situ (DCIS) in relation to the surgical margin status.Jpn J Breast Cancer 20:79–85, 2005 (in Japanese with English abstract).
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Iwase, T., Takahashi, K., Gomi, N. et al. Present state of and problems with core needle biopsy for non-palpable breast lesions. Breast Cancer 13, 32–37 (2006). https://doi.org/10.2325/jbcs.13.32
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DOI: https://doi.org/10.2325/jbcs.13.32