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Stereotactic directional vacuum-assisted breast biopsy using lateral approach

Breast Cancer volume 17, pages 286–289 (2010)Cite this article

Abstract

Background

In recent years, stereotactic vacuum-assisted breast biopsy [so-called Mammotome® biopsy (ST-MMT)] has been established as a reliable method for diagnosis of nonpalpable and mammographically detected lesions with microcalcification. However, there are few reports regarding the lateral approach. We performed ST-MMT using the lateral approach. The purpose of this study was to determine the usefulness of the lateral approach.

Materials and methods

124 women with microcalcifications underwent stereotactic vacuum-assisted breast biopsy (median age, 52.5 years). All underwent stereotactic biopsy using the lateral approach. We compared our data with those of other institutes using the vertical approach.

Results

We removed microcalcifications and used an 11-gauge vacuum-assisted probe in all cases. The range of breast thickness was 10–45 mm. 12 patients had vasovagal reactions, however they quickly recovered without drug intervention. No patients had major complications. Of 124 cases, cancer was diagnosed in 37 patients. In other institutes using the vertical approach, it was impossible to use 11G probes in some cases due to the breast being too thin. In our study, minimum breast thickness was 10 mm (7 cases) and we were able to use 11G probes in all 7 cases with only polyethylene foam.

Conclusion

With the lateral approach, it is possible to use 11G probes if the breast is thin (in our study minimum thickness was 10 mm) with only polyethylene foam. We believe this to be an advantage of the lateral approach. This advantage is very important in stereotactic biopsy, especially in Japan, as Japanese women’s breasts are generally thinner than most Western women’s.

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Abbreviations

ST-MMT:

Stereotactic vacuum-assisted breast biopsy

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Author information

Author notes

  1. Yuko Nakamura

    Present address: Department of Radiology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, 3-1 Aoyama-cho, Kure, 737-0023, Japan

Affiliations

  1. Department of Radiology, Hiroshima City Hospital, 7-33 Motomachi, Naka-ku, Hiroshima, 730-8518, Japan

    Yuko Nakamura, Masaki Urashima, Akiko Matsuura, Reisuke Nishihara, Atsushi Itoh & Masayuki Kagemoto

  2. Department of Breast and Endocrine Surgery, Hiroshima City Hospital, Hiroshima, Japan

    Kenji Higaki

Authors
  1. Yuko Nakamura
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  2. Masaki Urashima
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  3. Akiko Matsuura
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  4. Reisuke Nishihara
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  5. Atsushi Itoh
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  6. Masayuki Kagemoto
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  7. Kenji Higaki
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Corresponding author

Correspondence to Yuko Nakamura.

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Nakamura, Y., Urashima, M., Matsuura, A. et al. Stereotactic directional vacuum-assisted breast biopsy using lateral approach. Breast Cancer 17, 286–289 (2010). https://doi.org/10.1007/s12282-009-0162-4

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  • DOI: https://doi.org/10.1007/s12282-009-0162-4

Keywords

  • Stereotactic biopsy
  • Lateral approach
  • Breast thickness
  • Polyethylene foam
  • 11G probe