Abstract
Sonographic examination of the breast with state-of-the-art equipment has become an essential part of the clinical work-up of breast lesions and a valuable adjunct to mammographic screening and physical examination (Stavros et al. 1995). The technique is capable of detecting lesions not seen on mammography, allowing differentiation of cystic from solid lesions, and benign from malignant lesions. Because of the real-time capabilities and the high spatial and contrast resolution, sonography has become the optimal guidance technique for percutaneous interventional procedures and preoperative localization of nonpalpable lesions. Fine-needle aspiration (FNA) and core-needle biopsy (CNB) are long-established valuable techniques, still used in the majority of cases; vacuum-assisted biopsy (VAB) is a more recent technique with proven clinical value, which can be used under sonographic, mammographic, and magnetic imaging resonance (MRI) guidance. The purpose of this chapter is to describe the technique of sonographically guided Mammotome biopsy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American College of Radiology (1998) Breast imaging reporting and data system (BIRADS), 3rd ed. American College of Radiology, Reston, VA
Baez E, Huber A, Vetter M, Hackeloer BJ (2003) Minimal invasive complete excision of benign breast tumours using a three-dimensional ultrasound-guided mammotome vacuum device. Ultrasound Obstet Gynecol 21(3):267–272
Bonnaerens J (1999) Multicenter survey in Belgium: total cost of surgical breast biopsy - non published data, used in a preparation of reimbursement dossier
Brem RF et al (2001)Reliability of histologic diagnosis of breast cancer with stereotactic vacuum-assisted biopsy. Am Surg 67(4):388–392
Cangiarella J, Gross J, Symmans WF, Waisman J, Petersen B, D’Angelo D, Singer C, Axelrod D (2000) The incidence of positive margins with breast conserving therapy following mammotome biopsy for microcalcification. J Surg Oncol 74(4):263–266
Cangiarella J, Waisman J, Cohen JM, Chhieng D, Symmans WF, Axelrod D, Gross J (2001) Radial sclerosing lesion: correlation between mammotome core biopsy and surgical excision. Breast J 7(1):66–67
Carpentier E, Maruani A, Michenet P et al (2005) Les macrobiopsies échoguidées assistées par le vide peuvent-elles constituer une alternative à la chirurgie diagnostique en cas de microbiopsies non contributives. J Radiol 86:475–480
Cheung YC, Wan YL, Chen SC et al (2002) Sonographic evaluation of mammographically detected microcalcifications without a mass prior to stereotactic core needle biopsy. J Clin Ultrasound 30(6):321–326
Costantini R, Sardellone A, Marino C, Giamberardino MA, Innocenti P, Napolitano AM (2005) Vacuum-assisted core biopsy (Mammotome) for the diagnosis of non-palpable breast lesions: four-year experience in an Italian center. Tumori 91(4):351–354
Dennis MA, Parker S, Kaske TI, Stavros AT, Camp J (2000)Incidental treatment of nipple discharge caused by benign intraductal papilloma through diagnostic Mammotome biopsy. AJR Am J Roentgenol 174(5):1263–1268
Dhillon MS, Bradley SA England DW (2006) Mammotome biopsy: impact on preoperative diagnosis rate. Clin Radiol 61(3):276–281
Diebold T, Hahn T, Solbach C, Rody A, Balzer JO, Hansmann ML, Marx A, Viana F, Peters J, Jacobi V, Kaufmann M, Vogl TJ (2005) Evaluation of the stereotactic 8G vacuum-assisted breast biopsy in the histologic evaluation of suspicious mammography findings (BI-RADS IV). Invest Radiol 40(7):465–471
Fine RE, Boyd BA, Whitworth PW, Kim JA, Harness JK, Burak WE (2002) Percutaneous removal of benign breast masses using a vacuum-assisted hand-held device with ultrasound guidance. Am J Surg 184(4):332–336
Fine PW, Whitworth JA Kim JK Harness BA Boyd WE Burak NN (2003) Low-risk palpable breast masses removed using a vacuum-assisted hand-held device. Am J Surg 186:362–367
Fournier D (2005) Sonographic guidance for vacuum-assisted percutaneous biopsy of microcalcifications of the breast. Oral Presentation RSNA 2005-Chicago
Friedman PD, Sanders LM, Menendez C, Kalisher L, Petrillo G (2003) Retrieval of lost microcalcifications during stereotactic vacuum-assisted core biopsy AJR 180:275–280
Govindarajulu S, Narreddy S, Shere MH, Ibrahim NBN, Sahu AK, Cawthorn SJ (2006) PreopeÂrative mammotome biopsy of ducts beneath the nipple areola complex. Eur J Surg Oncol 32(4):410–412
Govindarajulu S, Narreddy SR, Shere MH, Ibrahim NB, Sahu AK, Cawthorn SJ (2009) SonograÂphically guided mammotome excision of ducts in the diagnosis and management of single duct nipple discharge. Eur J Surg Oncol 32:725–728
Hung WK, Lam HS, Lau Y, Chan CM, Yip AW (2001) Diagnostic accuracy of vacuum-assisted biopsy device for image-detected breast lesions. ANZ J Surg 71(8):457–460
Jacobs TW, Byrne C, Colditz G, Connolly JL, Schnitt SJ(1999) Radial scars in benign breast-biopsy specimens and the risk of breast cancer. N Engl J Med 340(6):430–436
Johnson AT, Henry-Tillman RS, Smith LF, Harshfield D, Korourian S, Brown H, Lane S, Colvert M, Klimberg VS (2002) Percutaneous excisional breast biopsy. Am J Surg 184(6):550–554; discussion 554
Kettritz U, Rotter K, Schreer I, Murauer M, Schulz-Wendtland R, Peter D, Heywang-Kobrunner SH (2004) Stereotactic vacuum-assisted breast biopsy in 2874 patients: a multicenter study. Cancer 100(2):245–251
Kruger BM, Burrowes P, MacGregor JH (2002) Accuracy of marker clip placement after mammotome breast biopsy. Can Assoc Radiol J 53(3):137–140
Liberman L, Vuolo L, Mdershaw DD (1999) Epithelial displacement after stereotactic 11-gauge directional vacuum-assisted breast biopsy. Am I Roentgenol 172:677–681
Maniero MB, Gareen IF, Bird et al (2002) Preferential use of sonographically guided biopsy to minimize patient discomfort and procedure time in a percutaneous guided breast biopsy program. J Ultrasound Med 21(11):1221–1226
March DD, Coughlin BF, Barham RB et al (2003) Breast masses: removal of all US evidence during biopsy by using a handheld vacuum-assisted device. Initial Exp Radiol 227:549–555
Meloni GB, Dessole S, Becchere MP, Soro D, Capobianco G, Ambrosini G, Nardelli GB, Canalis GC (2001) Ultrasound-guided mammotome vacuum biopsy for the diagnosis of impalpable breast lesions. Ultrasound Obstet Gynecol 18(5):520–524
Morris EA, Liberman L, Trevisan SG, Abramson AF, Dershaw DD (2002) Histologic heterogeneity of masses at percutaneous breast biopsy. Breast J 8(4):187–191
Parker SH, Klaus AJ, McWey PJ, Schilling KJ, Cupples TE, Duchesne N, Guenin MA, Harness JK (2001) Sonographically guided directional vacuum-assisted breast biopsy using a handheld device. AJR Am J Roentgenol 177(2):405–408
Perez-Fuentes JA, Longobardi IR, Acosta VFet al (2001) Sonographically guided directional vacuum assisted breast biopsy: preliminary experience in Venezuela. AJR 177:1459–1463
Philpotts LE, Hooley RJ, Lee CH Comparison of automated versus vacuum-assisted biopsy methods for sonographically guided core biopsy of the breast. AJR 2003180:347–351
Plantade R, Hammou JC, Gerard F, Chanalet I, Aubanel D, David-Bureau M, Scotto A, Fighiera M, Gueret S, Lo Monaco L (2005) Ultrasound-guided vacuum-assisted biopsy: review of 382 cases. J Radiol 86(9 Pt 1):1003–1015
Sebag P, Rouyer N (2003) Quelle est la place du mammotome sous échographie? In: Namer M, Ferrero JM (eds) Nouvelles techniques, nouvelles thérapeutiques: nouvelles stratégies. 25e journées nationales de la société française de sénologie et de pathologie mammaire (SFSPM). Nice, 17–19 September 2003. Springer, Paris
Sebag P, Tourasse C, Rouyer N, Lebas P, Dénier JF, Michenet P (2006) Place des macrobiopsies mammaires assistées par le vide sous guidage échographique: étude multi-centrique de 650 lésions. J Radio 87:29–33
Simon J, Kalbben C, Cooper RA, Fisak ME (2000) Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy: initial results. Radiology 215:694–697
Sperber et al (2003) Diagnosis and treatment of breast fibroadenomas by ultrasound-guided vacuum-assisted biopsy. Arch Surg 138:796–800
Stavros AT, Thickman DT, Rapp CL, et al (1995) Solid breast nodules: use of sonography to distinguish between benign and malignant lesions. Radiology 196:123–134
Steyaert L, Rigauts H (2003) Prélèvements assistés par aspiration, sous guidage échographique. J Le Sein t. 13(n 2):201–204
Steyaert L, Van Slambrouck K, Ghekiere J, Delanote J, Rigauts H (2001) Feasibility of ultrasound guided Mammotome® biopsy for microcalcifications: report of 31 cases. Proceedings of the 3rd EUSOBI Congress, 12–14 September 2001, Stockholm, Sweden
Travade A, Isnard A, Bagard C et al (2002) Macrobiopsies stéréotaxiques par système à aspiration 11-G : à propos de 249 patientes. J Radiol 83:1063–1071
Wilson R (2000) Large core biopsy techniques of the breast. IBUS 92–96 - data from a presentation
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Steyaert, L., Van Kerkhove, F., Casselman, J.W. (2009). Sonographically Guided Vacuum-Assisted Breast Biopsy Using Handheld Mammotome. In: Brun del Re, R. (eds) Minimally Invasive Breast Biopsies. Recent Results in Cancer Research, vol 173. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-31611-4_3
Download citation
DOI: https://doi.org/10.1007/978-3-540-31611-4_3
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-31403-5
Online ISBN: 978-3-540-31611-4
eBook Packages: MedicineMedicine (R0)