European Radiology

, Volume 17, Issue 12, pp 3100–3102

Ultrasound-guided breast biopsy using a 10-gauge self-contained vacuum-assisted device

  • Tibor Vag
  • Stefan O. R. Pfleiderer
  • Joachim Böttcher
  • Susanne Wurdinger
  • Mieczyslaw Gajda
  • Oumar Camara
  • Werner A. Kaiser
Breast

DOI: 10.1007/s00330-007-0687-x

Cite this article as:
Vag, T., Pfleiderer, S.O.R., Böttcher, J. et al. Eur Radiol (2007) 17: 3100. doi:10.1007/s00330-007-0687-x

Abstract

The purpose of this study was to evaluate the diagnostic value of a self-contained battery-driven vacuum-assisted breast biopsy (VABB) system for the sampling of breast masses under ultrasound guidance. Sixty-five patients with 70 lesions underwent percutaneous 10-gauge ultrasound-guided VABB using the coaxial technique. In 38 lesions, subsequent surgery and comparison of histology was performed. The remaining 32 cases were followed-up and defined as true negative after a cancer-free interval of 24 months. VABB revealed malignant histology in 28 (40%) cases. Twenty-four malignancies were confirmed after surgery. Four invasive cancers verified in VABB were not found during surgery because they were completely removed, as proved by a disease-free interval of 24 months. One cancer missed in ultrasound-guided VABB due to its small size was successfully diagnosed with stereotactic VABB and thus turned out to be false negative, resulting in an overall sensitivity of 96.6%. Forty-one patients were free of cancer during the follow-up period of at least 24 months. In conclusion, the self-contained VABB device is well suited for ultrasound-guided breast biopsies.

Keywords

Breast biopsyUltrasound guidedVacuum-assisted deviceBreast cancer

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Tibor Vag
    • 1
  • Stefan O. R. Pfleiderer
    • 1
  • Joachim Böttcher
    • 1
  • Susanne Wurdinger
    • 1
  • Mieczyslaw Gajda
    • 2
  • Oumar Camara
    • 3
  • Werner A. Kaiser
    • 1
  1. 1.Institute of Diagnostic and Interventional RadiologyFriedrich Schiller University Hospital JenaJenaGermany
  2. 2.Institute of PathologyFriedrich Schiller University Hospital JenaJenaGermany
  3. 3.Clinic of GynecologyFriedrich Schiller University Hospital JenaJenaGermany