J Korean Breast Cancer Soc.  2004 Dec;7(4):256-262. 10.4048/jkbcs.2004.7.4.256.

Diagnosis of Non-palpable Breast Lesions with Microcalcification by Upright Add-on Type Stereotactic Vacuum-assisted Biopsy

• Lee NS
• Park WC
• Lee DH
• Song BJ
• Kim JS
• Oh SJ
• Jung SS
• Lee JH

• KMID: 2173500
• DOI: http://doi.org/10.4048/jkbcs.2004.7.4.256

Abstract

PURPOSE
For the accurate diagnosis of non-palpable breast lesions with microcalcification, a localization and biopsy procedure should be performed by using mammography. Recently, a stereotactic vacuum-assisted biopsy has been reported as a convenient and accurate method for a procedure. This study was performed to determine whether the upright add-on type stereotactic biopsy was suitable for the diagnosis of microcalcified breast lesions in Korean women. METHODS: Between April 2002 and March 2003, an upright add-on type stereotactic vacuum-assisted biopsy was performed in 21 cases with microcalcification; that had been categorized from 2 to 5 according to the BI-RADS (Breast Imaging Reporting and Data System). The microcalcified lesions in biopsy specimens were confirmed with tissue mammogram and a pathological review performed. RESULTS: The pathological findings revealed fibrocystic changes in 15 cases, intraductal papilloma in 1 and ductal carcinoma in situ (DCIS) in 5. There were no malignancy among the BI-RADS category 2 & 3 cases, but DCIS was found in 2 (25%) out of 8 BI-RADS category 4 cases, and in all 3 (100%) of BI-RADS category 5 cases. The malignancy detection rate among the cases with microcalcification with a BI-RADS category above 4 was 45.4% (5/11). CONCLUSION: An upright add-on type stereotactic vacuum assisted biopsy is an accurate, safe and very convenient tool for the diagnosis of breast lesions with microcalcification.

Keyword

Breast; Microcalcification; Stereotactic biopsy

MeSH Terms

Biopsy*
Breast*
Carcinoma, Intraductal, Noninfiltrating
Diagnosis*
Female
Humans
Mammography
Papilloma, Intraductal
Vacuum