Accuracy and outcomes of stereotactic vacuum‐assisted breast biopsy for diagnosis and management of nonpalpable breast lesions
Abstract Stereotactic vacuum‐assisted biopsy (SVAB) is an alternative method of breast biopsy for nonpalpable lesions detected by mammography. Considering the diagnostic effectiveness, a direct comparison of SVAB and open surgical biopsy (OSB) is lacking. We performed a retrospective review of 276 (...
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| Format: | Article |
| Language: | English |
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Wiley
2019-10-01
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| Series: | Kaohsiung Journal of Medical Sciences |
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| Online Access: | https://doi.org/10.1002/kjm2.12100 |
| _version_ | 1818029741288980480 |
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| author | Huei‐Yi Tsai Min‐Fang Chao Fu Ou‐Yang Jung‐Yu Kan Jui‐Sheng Hsu Ming‐Feng Hou Herng‐Chia Chiu |
| author_facet | Huei‐Yi Tsai Min‐Fang Chao Fu Ou‐Yang Jung‐Yu Kan Jui‐Sheng Hsu Ming‐Feng Hou Herng‐Chia Chiu |
| author_sort | Huei‐Yi Tsai |
| collection | DOAJ |
| description | Abstract Stereotactic vacuum‐assisted biopsy (SVAB) is an alternative method of breast biopsy for nonpalpable lesions detected by mammography. Considering the diagnostic effectiveness, a direct comparison of SVAB and open surgical biopsy (OSB) is lacking. We performed a retrospective review of 276 (33.8%) SVAB and 541 (66.2%) OSB to compare the diagnostic accuracy and the total number of procedures the patients underwent. The negative predictive values of OSB and SVAB were 99.77% and 99.61%, and their false‐negative rates were 0.96% and 4.76%, respectively. SVAB, as the first‐line biopsy method, obviated 92.3% of operations. All malignancies diagnosed using SVAB could be treated with single therapeutic surgery. By contrast, 48% of malignancies of OSB group received two operations. Breast Imaging Reporting and Data System (BI‐RADS) category used at the study correlated well with the percentage of malignancy and can thus be used to predict biopsy results. Our study concluded that SVAB is reliable for diagnosing nonpalpable breast lesions and is the better biopsy method for categories 3 and 4A lesions, which reduces the benign surgery rate. For lesions with a higher likelihood of malignancy, BI‐RADS 4B, 4C and 5, SVAB has an advantage over OSB, which lowers the total number of operations for malignancy treatment. |
| first_indexed | 2024-12-10T05:24:30Z |
| format | Article |
| id | doaj.art-aad51472510d433d92020aa57cc682f6 |
| institution | Directory Open Access Journal |
| issn | 1607-551X 2410-8650 |
| language | English |
| last_indexed | 2024-12-10T05:24:30Z |
| publishDate | 2019-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-aad51472510d433d92020aa57cc682f62022-12-22T02:00:43ZengWileyKaohsiung Journal of Medical Sciences1607-551X2410-86502019-10-01351064064510.1002/kjm2.12100Accuracy and outcomes of stereotactic vacuum‐assisted breast biopsy for diagnosis and management of nonpalpable breast lesionsHuei‐Yi Tsai0Min‐Fang Chao1Fu Ou‐Yang2Jung‐Yu Kan3Jui‐Sheng Hsu4Ming‐Feng Hou5Herng‐Chia Chiu6Department of Radiology St. Joseph Hospital Kaohsiung TaiwanDepartment of Medical Imaging Kaohsiung Medical University Hospital Kaohsiung TaiwanDivision of Breast Surgery, Department of Surgery Kaohsiung Medical University Hospital Kaohsiung TaiwanDivision of Breast Surgery, Department of Surgery Kaohsiung Medical University Hospital Kaohsiung TaiwanDepartment of Medical Imaging Kaohsiung Medical University Hospital Kaohsiung TaiwanDivision of Breast Surgery, Department of Surgery Kaohsiung Medical University Hospital Kaohsiung TaiwanDepartment of Healthcare Administration and Medical Informatics Kaohsiung Medical University Kaohsiung TaiwanAbstract Stereotactic vacuum‐assisted biopsy (SVAB) is an alternative method of breast biopsy for nonpalpable lesions detected by mammography. Considering the diagnostic effectiveness, a direct comparison of SVAB and open surgical biopsy (OSB) is lacking. We performed a retrospective review of 276 (33.8%) SVAB and 541 (66.2%) OSB to compare the diagnostic accuracy and the total number of procedures the patients underwent. The negative predictive values of OSB and SVAB were 99.77% and 99.61%, and their false‐negative rates were 0.96% and 4.76%, respectively. SVAB, as the first‐line biopsy method, obviated 92.3% of operations. All malignancies diagnosed using SVAB could be treated with single therapeutic surgery. By contrast, 48% of malignancies of OSB group received two operations. Breast Imaging Reporting and Data System (BI‐RADS) category used at the study correlated well with the percentage of malignancy and can thus be used to predict biopsy results. Our study concluded that SVAB is reliable for diagnosing nonpalpable breast lesions and is the better biopsy method for categories 3 and 4A lesions, which reduces the benign surgery rate. For lesions with a higher likelihood of malignancy, BI‐RADS 4B, 4C and 5, SVAB has an advantage over OSB, which lowers the total number of operations for malignancy treatment.https://doi.org/10.1002/kjm2.12100accuracybreast biopsyoutcomesstereotacticvacuum‐assisted biopsy |
| spellingShingle | Huei‐Yi Tsai Min‐Fang Chao Fu Ou‐Yang Jung‐Yu Kan Jui‐Sheng Hsu Ming‐Feng Hou Herng‐Chia Chiu Accuracy and outcomes of stereotactic vacuum‐assisted breast biopsy for diagnosis and management of nonpalpable breast lesions Kaohsiung Journal of Medical Sciences accuracy breast biopsy outcomes stereotactic vacuum‐assisted biopsy |
| title | Accuracy and outcomes of stereotactic vacuum‐assisted breast biopsy for diagnosis and management of nonpalpable breast lesions |
| title_full | Accuracy and outcomes of stereotactic vacuum‐assisted breast biopsy for diagnosis and management of nonpalpable breast lesions |
| title_fullStr | Accuracy and outcomes of stereotactic vacuum‐assisted breast biopsy for diagnosis and management of nonpalpable breast lesions |
| title_full_unstemmed | Accuracy and outcomes of stereotactic vacuum‐assisted breast biopsy for diagnosis and management of nonpalpable breast lesions |
| title_short | Accuracy and outcomes of stereotactic vacuum‐assisted breast biopsy for diagnosis and management of nonpalpable breast lesions |
| title_sort | accuracy and outcomes of stereotactic vacuum assisted breast biopsy for diagnosis and management of nonpalpable breast lesions |
| topic | accuracy breast biopsy outcomes stereotactic vacuum‐assisted biopsy |
| url | https://doi.org/10.1002/kjm2.12100 |
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