BibTex RIS Cite

The Value of Ultrasound Guided Tru-Cut Needle Biopsy in Histopathological Evaluation of Breast Lesions Which Were Assessed as BI-RADS Category 3-5 Radiologically: Our Experience of Three Years

Year 2009, Volume: 1 Issue: 2, 23 - 27, 01.08.2009

Abstract

Aim: The breast biopsy results of lesions, which were assessed as BIRADS Breast Imaging Reporting and Data System category 3-5 in our clinic, are, evaluatedretrospectively. Thediagnostic valueof USguided breast biopsy is investigated and the results of the method in our clinic are interpreted with the current literature. Material and Methods: In this study, the fi ndings of 97 cases that underwent US guided breast biopsy at Radiology department in Maltepe University Hospital; during the time interval between September 2006 to May 2009 are presented. In this study, tru-cut biopsies with ultrasonography US guidance were performed to the breast lesions which were assessed as BI-RADS category 3 to 5 with US, magnetic resonance imaging MRI or mammographyandallof whichwere visiblein US. Thedimensions, localizations, BI-RADS categories, the number of attempts for sampling and the histopatological results of all lesions included in the study were documented. Results: Histopatological assessments revealed, 61 cases as benign %62,9 , 35 cases as malignant %36.1 , and 1 case as atypical ductal hyperplasia. 94 %96.9 of 97 cases have been diagnosed by tru-cut biopsy, and as a result the sensitivity and specifi city were found %96.9 and %100 accordingly. Although forsampling 4-6 meanaverage4.3 attempts applied to patients. Only in 3 cases a minor complication as ecchymosed occurred on the breast skin. Conclusion: For the histological diagnosis of breast diseases US guided tru-cut biopsy is not only faster and cheaper but also an easily tolerated and applicable method when compared to MRI guided biopsy or stereotactic biopsy or vacuum assisted core biopsy procedures. It also became eff ective alternative surgical excision biopsies recently.

References

  • 1. Bassett LW, Mahoney MC, Apple SK. Interventional breast imaging: current procedures and assessing for concordance with pathology. Radiol Clin North Am. 2007;45:881-94.
  • 2. Parker SH, Burbank F, Jackman RJ. Percutaneous large-core breast biopsy: a multi-institutional study. Radiology 1994;193:359–64.
  • 3. Brenner RJ, Bassett LW, Fajardo LL, Dershaw DD, Evans WP 3rd, Hunt R, et al. Stereotactic core-needle breast biopsy: a multiinstitutional prospective trial. Radiology 2001;218:866–72.
  • 4. March DE, Raslavicus A, Coughlin BF, Klein SV, Makari-Judson G. Use of core biopsy in the United States. AJR Am J Roentgenol 1997;169:697–701.
  • 5. Parker SH, Lovin JD, Jobe WE, Luethke JM, Hopper KD, Yakes WF, et al. Stereotactic breast biopsy with a biopsy gun. Radiology 1990;176:741–747.
  • 6. Parker SH, Jobe WE, Dennis MA, Stavros AT, Johnson KK, Yakes WF, et al. US-guided automated large-core breast biopsy. Radiology 1993;187:507–511.
  • 7. Bildirici T, Özdemir A, Dursun A, Gürel K, Önal B, Altınok M, et al. Meme lezyonlarında US kılavuzluğunda vakum destekli biyopsi (mammotom) uygulamaları: 24 lezyonu iceren ilk sonuclar. Tanısal ve Girişimsel Radyoloji 2001;7:376-379.
  • 8. Fornage BD. Sonographically guided needle biopsy of nonpalpable breast lesions. J Clin Ultrasound 1999;27:385-389.
  • 9. Eby PR, Lehman C. MRI-guided breast interventions. Semin Ultrasound CT MR 2006;27:339–350.
  • 10. American College of Radiology. ACR breast imaging reporting and data system (BIRADS): breast imaging atlas. Reston, Va: American College of Radiology, 2003.
  • 11. Oysu AS, Kaya H, Güllüoğlu B, Arıbal E. Meme lezyonlarında US kılavuzluğunda vakum destekli biyopsi (mamotom) ve “tru-cut” biyopsi yöntemlerinin karşılaştırılması. Tanısal ve Girişimsel Radyoloji 2004;10:44-47.
  • 12. Simon JR, Kalbhen CL, Cooper RA, Flisak ME. Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy:initial results. Radiology 2000;215:694-697.
  • 13. Liberman L, Dershaw DD, Rosen PP, et al.Stereotaxic 14-gauge breast biopsy: How many core biopsy specimens are needed? Radiology 1994;192:793-795.
  • 14. Parker SH, Stavros AT, Dennis MA. Needle biopsy techniques. Radiol Clin North Am 1995;33:1171- 1186.
  • 15. Liberman L, LaTrenta LR, Van Zee KJ, Morris EA, Abramson AF, Dershaw DD Stereotactic core biopsy of calcifications calcifications highly suggestive of malignancy. Radiology 1997;203:673-677.
  • 16. Liberman L, Dershaw DD, Rosen PP, Rosen PP, LaTrenta LR, Morris EA, et al. Stereotaxic core biopsy of breast carcinoma: accuracy of predicting invasion. Radiology 1995;194:379-381.
  • 17. Bassett L, Winchester DP, Caplan RB, Dershaw DD, Dowlatshahi K, Evans WP 3rd, et al. Stereotactic core-needle biopsy of the breast: a report of the Joint Task Force of the American College of Radiology, American College of Surgeons, and College of American Pathologists. CA Cancer J Clin 1997;47:171–90.
  • 18. Nath M, Robinson T, Tobon H, Chough DM, Sumkin JH. Automated large-core needle biopsy of surgically removed breast lesions: comparison of samples obtained with 14-, 16-, and 18-gauge needles. Radiology 1995;197:739-742.

Radyolojik Olarak BI-RADS Kategori 3-5 Olarak Değerlendirilen Meme Lezyonlarının Histopatolojik Değerlendirilmesinde Ultrason Rehberliğinde Yapılan Tru-Cut İğne Biyopsinin Etkinliği: Üç Yıllık Deneyimimiz

Year 2009, Volume: 1 Issue: 2, 23 - 27, 01.08.2009

Abstract

Amaç: BI-RADS Breast Imaging Reporting and Data System kategori 3–5 olarak değerlendirilen lezyonlara kliniğimizde yapılan ultrasonografi US eşliğinde tru-cut biyopsi sonuçları retrospektif olarak değerlendirildi. US rehberliğinde tru-cutmeme biyopsisinintanı değeri araştırıldı. Ve kliniğimizdeki sonuçlar güncel literatür ile birlikte yorumlandı. Gereç ve Yöntem: Bu çalışmada Maltepe Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalında Eylül 2006 ve Mayıs 2009 tarihleri arasında US eşliğinde tru- cutbiyopsisiuygulanan97 olgunun bulguları sunulmaktadır. Bu çalışmada US, mamografi ve manyetik rezonans görüntüleme ile BI-RADS kategori 3–5olarak değerlendirilen ve US'de görülebilenmeme lezyonlarına US eşliğinde tru-cut biyopsi yapıldı. Tüm lezyonların boyutları, lokalizasyonları, BIRADS kategorileri, yapılan girişim sayısı ve histopatolojik tanıları kaydedildi. Bulgular: Histopatoloijk değerlendirme sonucu toplam 61 olgu %62.9 benign, 35 olgu %36.1 malign ve 1 %1 olguda atipik duktal hiperplazi tanısı aldı. Toplam 97 olgunun 94'ünde %96.9 patolojik tanı tru-cut ile konulmuş olup metodunsensitivitesi%96.9, spesifitesi%100 bulundu. Örneklemeiçin olgulara 4–6 arasında girişim ortalama 4.3 yapılmasına rağmen sadece 3 olguda meme cildinde ekimoz şeklinde minör komplikasyon oluştu. Sonuç: Meme hastalıklarının tanısı için US rehberliğinde yapılan tru-cut biyopsi yöntemi; sterotaksive MRG rehberliğinde yapılan tru-cutveya vakum destek likör biyopsilerine göre sadece daha hızlı ve ucuz değil aynı zamanda kolaytolere edilebilen ve uygulanabilen bir tanı yöntemi olup son dönemlerde cerrahi biyopsinin etkin bir alternatifi haline gelmiştir.

References

  • 1. Bassett LW, Mahoney MC, Apple SK. Interventional breast imaging: current procedures and assessing for concordance with pathology. Radiol Clin North Am. 2007;45:881-94.
  • 2. Parker SH, Burbank F, Jackman RJ. Percutaneous large-core breast biopsy: a multi-institutional study. Radiology 1994;193:359–64.
  • 3. Brenner RJ, Bassett LW, Fajardo LL, Dershaw DD, Evans WP 3rd, Hunt R, et al. Stereotactic core-needle breast biopsy: a multiinstitutional prospective trial. Radiology 2001;218:866–72.
  • 4. March DE, Raslavicus A, Coughlin BF, Klein SV, Makari-Judson G. Use of core biopsy in the United States. AJR Am J Roentgenol 1997;169:697–701.
  • 5. Parker SH, Lovin JD, Jobe WE, Luethke JM, Hopper KD, Yakes WF, et al. Stereotactic breast biopsy with a biopsy gun. Radiology 1990;176:741–747.
  • 6. Parker SH, Jobe WE, Dennis MA, Stavros AT, Johnson KK, Yakes WF, et al. US-guided automated large-core breast biopsy. Radiology 1993;187:507–511.
  • 7. Bildirici T, Özdemir A, Dursun A, Gürel K, Önal B, Altınok M, et al. Meme lezyonlarında US kılavuzluğunda vakum destekli biyopsi (mammotom) uygulamaları: 24 lezyonu iceren ilk sonuclar. Tanısal ve Girişimsel Radyoloji 2001;7:376-379.
  • 8. Fornage BD. Sonographically guided needle biopsy of nonpalpable breast lesions. J Clin Ultrasound 1999;27:385-389.
  • 9. Eby PR, Lehman C. MRI-guided breast interventions. Semin Ultrasound CT MR 2006;27:339–350.
  • 10. American College of Radiology. ACR breast imaging reporting and data system (BIRADS): breast imaging atlas. Reston, Va: American College of Radiology, 2003.
  • 11. Oysu AS, Kaya H, Güllüoğlu B, Arıbal E. Meme lezyonlarında US kılavuzluğunda vakum destekli biyopsi (mamotom) ve “tru-cut” biyopsi yöntemlerinin karşılaştırılması. Tanısal ve Girişimsel Radyoloji 2004;10:44-47.
  • 12. Simon JR, Kalbhen CL, Cooper RA, Flisak ME. Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy:initial results. Radiology 2000;215:694-697.
  • 13. Liberman L, Dershaw DD, Rosen PP, et al.Stereotaxic 14-gauge breast biopsy: How many core biopsy specimens are needed? Radiology 1994;192:793-795.
  • 14. Parker SH, Stavros AT, Dennis MA. Needle biopsy techniques. Radiol Clin North Am 1995;33:1171- 1186.
  • 15. Liberman L, LaTrenta LR, Van Zee KJ, Morris EA, Abramson AF, Dershaw DD Stereotactic core biopsy of calcifications calcifications highly suggestive of malignancy. Radiology 1997;203:673-677.
  • 16. Liberman L, Dershaw DD, Rosen PP, Rosen PP, LaTrenta LR, Morris EA, et al. Stereotaxic core biopsy of breast carcinoma: accuracy of predicting invasion. Radiology 1995;194:379-381.
  • 17. Bassett L, Winchester DP, Caplan RB, Dershaw DD, Dowlatshahi K, Evans WP 3rd, et al. Stereotactic core-needle biopsy of the breast: a report of the Joint Task Force of the American College of Radiology, American College of Surgeons, and College of American Pathologists. CA Cancer J Clin 1997;47:171–90.
  • 18. Nath M, Robinson T, Tobon H, Chough DM, Sumkin JH. Automated large-core needle biopsy of surgically removed breast lesions: comparison of samples obtained with 14-, 16-, and 18-gauge needles. Radiology 1995;197:739-742.
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Rahmi Çubuk This is me

Nuri Tasalı This is me

Ahmet Midi This is me

Gül Arslan This is me

Esra Tozan Bayrak This is me

Manuk Manukyan This is me

Mehmet Atasoy This is me

Levent Çelik This is me

Şefik Güney This is me

Publication Date August 1, 2009
Published in Issue Year 2009 Volume: 1 Issue: 2

Cite

Vancouver Çubuk R, Tasalı N, Midi A, Arslan G, Tozan Bayrak E, Manukyan M, Atasoy M, Çelik L, Güney Ş. Radyolojik Olarak BI-RADS Kategori 3-5 Olarak Değerlendirilen Meme Lezyonlarının Histopatolojik Değerlendirilmesinde Ultrason Rehberliğinde Yapılan Tru-Cut İğne Biyopsinin Etkinliği: Üç Yıllık Deneyimimiz. Maltepe tıp derg. 2009;1(2):23-7.