The evolving practice pattern of the breast surgeon with disappearance of open biopsy for nonpalpable lesions

Background: Recent advances in technology have prompted growth in the surgeon’s armamentarium for breast biopsy. For nonpalpable, mammographically detected lesions, the options include stereotactic needle/wire localization and open biopsy (SNL/OBx), stereotactic needle core biopsy (SNCB), and direct...

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Bibliographic Details
Published in:The American journal of surgery 1998-12, Vol.176 (6), p.525-528
Main Authors: Zannis, Victor J, Aliano, Kristina M
Format: Article
Language:English
Subjects:
Accuracy
Adult
Aged
Aged, 80 and over
Anesthesia
Biopsy
Biopsy, Needle - methods
Biopsy, Needle - standards
Biopsy, Needle - trends
Breast
Breast - pathology
Breast cancer
Breast Neoplasms - pathology
Breast Neoplasms - surgery
False Negative Reactions
Female
Histology
Humans
Hyperplasia
Lesions
Localization
Lumpectomy
Mammography
Medical equipment
Middle Aged
Neoplasm Staging
Patients
Retrospective Studies
Statistical significance
Surgeons
Vacuum
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Summary:Background: Recent advances in technology have prompted growth in the surgeon’s armamentarium for breast biopsy. For nonpalpable, mammographically detected lesions, the options include stereotactic needle/wire localization and open biopsy (SNL/OBx), stereotactic needle core biopsy (SNCB), and directional, vacuum-assisted biopsy (VAB; Mammotome). Methods: A review of 372 patients with 424 breast lesions biopsied by the same surgeon between January 1993 and August 1997 was performed. Results: SNCB and VAB procedures were less invasive and less morbid than SNL/OBx. Vacuum-assisted biopsy was superior to SNCB for sampling efficiency, with 74% of microcalcifications removed compared with 20% ( P
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(98)00265-7