Abstract
We treated a patient with a pseudoaneurysm caused by core needle biopsy (CNB), in which both the cancer and the aneurysm were excised by breast conservation therapy. A 51-year-old woman attended a local hospital because of a 25-mm mass in the upper outer quadrant of the right breast. CNB was performed, and brisk bleeding occurred at the biopsy site. Immediate hemostasis was achieved with direct manual compression. CNB detected fatty tissue, and a diagnosis could not be made. When she presented at our hospital 6 weeks later, there was a 25-mm pulsating mass at the biopsy site. Color-flow Doppler US and dynamic MRI showed a breast tumor and pseudoaneurysm formation. For the purpose of diagnosis and treatment of the breast tumor and pseudoaneurysm, lumpectomy of the right breast was performed. Histological diagnosis was papillotubular carcinoma and pseudoaneurysm. Although this condition is relatively rare, it is important to be aware of the possibility of complications, such as pseudoaneurysms, which require treatment.
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Parker SH, Burbank F, Jackman RJ, Aucreman CJ, Cardenosa G, Cink TM, et al. Percutaneous large-core breast biopsy: a multi-institutional study. Radiology. 1994;193:359–64.
Harlow CL, Schackmuth EM, Bregman PS, Zeligman BE, Coffin CT. Sonographic detection of hematomas and fluid after imaging guided core breast biopsy. J Ultrasound Med. 1994;13:877–82.
Meyer JE, Smith DN, Lester SC, Kaelin C, DiPiro PJ, Denison CM, et al. Large-core needle biopsy of nonpalpable breast lesions. JAMA. 1999;281:1638–41.
Braun MA, Nemcek AA. Complications. In: Braun MA, Nemcek AA, Vogelzang RL, editors. Interventional radiology procedure manual. New York, USA: Churchill Livingstone; 1997. p. 67–70.
Daunt N. An intramammary pseudoaneurysm presenting as a breast mass. Australas Radiol. 1995;39:71–2.
Herbert LM. Aetiology and pathogenesis of vascular disease. In: Herbert LM, editor. Caring for the vascular patients. Edinburgh, UK: Churchill Livingstone; 1997. p. 38.
Apple S. Interdisciplinary management of the interventional patient. In: Apple S, Lindsay Jr J, editors. Principles and practice of interventional cardiology. Baltimore, USA: Lippincott, Williams & Wilkins; 2000. p. 239–41.
Beckingham IJ, Nicholson ML, Bell PR. Analysis of factors associated with complications following renal transplant needle core biopsy. Br J Urol. 1994;73:13–5.
Sheets PW, Brumbaugh CJ, Kopecky KK, Pound DC, Filo RS. Safety and efficacy of a spring-propelled 18 gauge needle for US-guided liver biopsy. J Vasc Interv Radiol. 1991;2:147–9.
Dixon AM, Enion DS. Pseudoaneurysm of the breast: case study and review of literature. Br J Radiol. 2004;77:694–7.
McNamara MP Jr, Boden T. Pseudoaneurysm of the breast related to 18 gauge core biopsy: successful repair using sonographically guided thrombin injection. AJR Am J Roentgenol. 2002;179:924–6.
Bazzocchi M, Francescutti GE, Zuiani C, Del Frate C, Londero V. Breast pseudoaneurysm in a woman after core biopsy: percutaneous treatment with alcohol. AJR Am J Roentgenol. 2002;179:696–8.
Chorny K, Raza S, Bradley FM, Baum JK. Pseudoaneurysm formation in the breast after core needle biopsy. J Ultrasound Med. 1997;16:849–51.
Beres RA, Harrington DG, Wenzel MS. Percutaneous repair of breast pseudoaneurysm: sonographically guided embolization. AJR Am J Roentgenol. 1997;169:425–7.
Smith SM. Breast pseudoaneurysm after core biopsy. AJR Am J Roentgenol. 1996;167:817.
McNamara MP Jr. Perctaneous procedures guided by color-flow Doppler sonography. AJR Am J Roentgenol. 1989;152:1123–5.
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Sasada, S., Namoto-Matsubayashi, R., Yokoyama, G. et al. Case report of pseudoaneurysm caused by core needle biopsy of the breast. Breast Cancer 17, 75–78 (2010). https://doi.org/10.1007/s12282-009-0095-y
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DOI: https://doi.org/10.1007/s12282-009-0095-y