Our Results of Stereotactic Vacuum Aspiration Biopsy Performed with Mammography on BIRADS 3 and 4 Lesions Detected in Mammography: Single Center Experience

Year 2020, Volume: 4 Issue: 2, 46 - 55, 23.06.2020

Kamber Göksu Ahmet Vural Esin Derin Çiçek

https://doi.org/10.33716/bmedj.734892

Cited By: 1

Abstract

Aim: To evaluate the effectiveness of stereotactic vacuum aspiration biopsy (SVAB) performed with mammography as an alternative to traditional biopsy methods or excisional biopsy for BI-RADS 3 and 4 category breast lesions.
Materials and Methods: Stereotactic vacuum aspiration biopsy (SVAB) was performed on patients who were detected to have BIRADS 3-4 lesions on mammography in our clinic. Pathology results of these patients were evaluated retrospectively. It was planned to evaluate the effectiveness of the SVAB method by comparing the SVAB pathology results with the surgical pathology results.
Results: With the evaluation of 1196 mammography examinations performed between May 2014 and May 2015 in our clinic, 53 of them which were SVAB performed and diagnosed with BI-RADS category 3 and 4 were included in our study. 9 of these cases were classified as BI-RADS 3 (17%), 33 of them as 4a (62%), 6 of them as 4b (11%) and 5 of them as 4c (9%). Four (12.1%) of the cases with pathological BI-RADS 4a and 2 (40%) of the BI-RADS 4c cases are compatible with premalignant / in situ lesions (Ductal carcinoma in situ, Atypical ductal hyperplasia). Microcalcification was present in 47 of the cases and nodular density in 11 of them. Procedure-related complications developed in only two cases (skin laceration / hemorrhage and vagal hypotension).
Conclusion: It is possible to obtain sufficient sample material with SVAB method. It is a successful alternative diagnostic method instead of traditional biopsy methods that can give insufficient material and false-negative results or invasive excisional biopsy.

Keywords

Mammography, BI-RADS 3 and 4 lesions, tereotactic Vacuum Aspiration Biopsy

Mamografide Tespit Edilen BIRADS 3 ve 4 Lezyonlara Yönelik Mamografi Eşliğinde Yapılan Stereotaktik Vakum Aspirasyon Biyopsi Sonuçlarımız: Tek Merkez Deneyimi

Abstract

Amaç: Breast Imaging Reporting and Data System (BI-RADS) 3 ve 4 kategori içerisinde yer alan meme lezyonlarına yönelik, geleneksel biyopsi yöntemleri ya da eksizyonel biyopsiye alternatif olarak mamografi eşliğinde yapılan stereotaktik vakum aspirasyon biyopsi (SVAB) nin etkinliğini değerlendirmek.
Gereç ve Yöntemler: Kliniğimizde yapılan mamografilerde BIRADS 3-4 lezyon tespit edilen hastalardan, stereotaktik vakum aspirasyon biyopsisi (SVAB) yapılan hastaların patoloji sonuçları retrospektif olarak değerlendirildi. SVAB patoloji sonuçları ile cerrahi patoloji sonuçları arasında fark olup olmadığı incelenerek yöntemin etkinliğinin değerlendirilmesi planlandı.
Bulgular: Kliniğimizde Mayıs 2014 – Mayıs 2015 tarihleri arasında yapılan 1196 mamografi incelemesinin değerlendirilmesi ile BI-RADS kategori 3 ve 4 tanısı alan olguların, SVAB uygulanmış 53'ü çalışmamıza dahil edildi. Bu olguların 9'u BI-RADS 3 (%17), 33'ü 4a (%62), 6'sı 4b (%11) ve 5'i 4c (%9) olarak sınıflandırıldı. Patoloji sonucu BI-RADS 4a olan olguların 4 ü (%12.1), BI-RADS 4c olguların 2 si (%40) premalign / in situ lezyonlar (Duktal karsinoma in situ, Atipik duktal hiperplazi) ile uyumludur. Olguların 47'sinde mikrokalsifikasyon, 11'inde nodüler dansite mevcuttu. Olguların sadece iki tanesinde (ciltte laserasyon/hemoraji ile vagal hipotansiyon) işleme bağlı komplikasyon gelişmiştir.
Sonuç: SVAB yeteri kadar örnek materyal alma imkânı sunmaktadır. Yetersiz materyal ve yanlış negatif sonuçlar verebilen geleneksel biyopsi yöntemleri ya da invaziv eksizyonel biyopsi yerine başarılı, alternatif bir tanı yöntemidir.

Keywords

Mamografi, BI-RADS 3 ve 4 lezyonlar, Stereotaktik Vakum Aspirasyon Biopsisi

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