Skip to main content

Advertisement

SpringerLink
Log in

Stereotactic directional vacuum-assisted breast biopsy using lateral approach

  • Original Article
  • Published:
Breast Cancer Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Abbreviations

ST-MMT:

Stereotactic vacuum-assisted breast biopsy

References

  1. Parker SH, Lovin JD, Jobe WE, Burke BJ, Hopper KD, Yakes WF. Nonpalpable breast lesions: stereotactic automated large-core biopsies. Radiology. 1991;180:403–7.

    CAS  PubMed  Google Scholar 

  2. Parker SH, Klaus AJ. From the RSNA refresher course. Radiographics. 1997;17:1233–52.

    CAS  PubMed  Google Scholar 

  3. Tsunoda-Shimizu H, Kikuchi M, Yagata H, Nakamura S. Image-guided. Vacuum-assisted breast biopsy -stereo-guided biopsy-. Jpn J Intervent Radiol. 2005;20:264–6.

    Google Scholar 

  4. Gomi N, Takahashi K, Sakamoto G. Non-palpable breast lesions: vacuum-assisted breast biopsy System. Jpn J Breast Cancer. 2002;17(2):114–23.

    Google Scholar 

  5. Hashimoto H, Miyazawa Y, Sakuma Y, Iwamoto F, Seki Y, Kawakami Y, et al. Diagnosis for microcalcification. Rinsho Gazo. 2003;19:517–9.

    Google Scholar 

  6. Burbank F, Parker SH, Fogarty TJ. Stereotactic breast biopsy: improved tissue harvesting with the Mammotome. Am Surg. 1996;62:738–44.

    CAS  PubMed  Google Scholar 

  7. Georgian-Smith D, D’Orsi C, Morris E, Clark CF Jr, Liberty E, Lehman CD. Stereotactic biopsy of the breast using an upright unit, a vacuum-suction needle, and a lateral arm-support system. AJR. 2002;178:1017–24.

    PubMed  Google Scholar 

  8. Welle GJ, Clark M, Loss S, Pauls D, Warden D, Sheffield M, et al. Stereotactic breast biopsy: recumbent biopsy using add-on up-right equipment. AJR. 2000;175:59–63.

    CAS  PubMed  Google Scholar 

  9. Welle GJ, Clark ML. Adaptation of an add-on stereotaxic breast biopsy unit: use of a dedicated reclinable chair. AJR. 1997;169:1391–3.

    CAS  PubMed  Google Scholar 

  10. Della Sala SW, Pellegrini M, Bernardi D, Dalla Palma F, Bonzanini M. Advantages and limits of percutaneous breast core biopsy with Mammotome and stereotactic equipment in upright seated patient. Radiol Med. 2004;108(4):335–44.

    PubMed  Google Scholar 

  11. Kawasaki A. Present technical quality of stereo-guided aspiration biopsy of breast tissues in Kanagawa Prefecture: the role and responsibility of Radiology Technicians. J Jpn Assoc Breast Cancer Screen. 2008;17:68–76.

    Article  Google Scholar 

  12. Nisbet AP, Borthwick-Clarke A, Scott N. 11-gauge vacuum assisted directional biopsy of breast calcifications, using upright stereotactic guidance. Eur J Radiol. 2000;36:144–6.

    Article  CAS  PubMed  Google Scholar 

  13. Meloni GB, Becchere MP, Soro D, Feo CF, Profili S, Dettori G, et al. Percutaneous vacuum-assisted core breast biopsy with upright stereotactic equipment. Indications, limitations and results. Acta Radiol. 2002;43:575–8.

    Article  CAS  PubMed  Google Scholar 

  14. Lehman CD, Sieler-Gutierrez HJ, Georgian-Smith D. Lateral approach biopsy adapter accuracy on an upright unit in a turkey breast model. AJR. 2001;177:897–9.

    CAS  PubMed  Google Scholar 

  15. Mammography guideline edit II. Japan Radiological Society, Japanese Society of Radiological Technology. The committee on Mammography guideline 2004.

  16. Burbank F. Stereotactic breast biopsy: comparison of 14- and 11-gauge Mammotome probe performance and complication rates. Am Surg. 1997;63:988–95.

    CAS  PubMed  Google Scholar 

  17. Hashimoto H, Miyazawa Y, Sakuma Y, Iwamoto F, Seki Y, Tachibana N, et al. Vacuum-assisted core biopsy (Mammotome) for microcalcification. J Jpn Assoc Breast Cancer Screen. 2004;13(2):184–90.

    Google Scholar 

  18. Kasumi F, Sakamoto G. Mammotome biopsy. 2nd ed. Tokyo: Johnson & Johnson; 2002.

  19. Burbank F. Stereotactic breast biopsy: its history, its prevent, and its future. Am Surg. 1996;62:128–50.

    CAS  PubMed  Google Scholar 

  20. Matsuzaki S, Shiba E, Kobayashi Y, Kobayashi N. Stereotactic vacuum-assisted breast biopsy Mammotome biopsy for the microcalcification on mammography. Jpn J Breast Cancer. 2003;18(4):327–31.

    Google Scholar 

  21. Matsuzaki S, Shiba E, Kobayashi Y, Kawai M, Kitamura K, Nishita T, et al. Stereotactic vacuum-assisted breast biopsy (Mammotome biopsy) for non-palpable microcalcification on mammography. Nippon Acta Radiologica. 2005;65:16–22.

    PubMed  Google Scholar 

  22. Sato N, Hino M, Sano M, Shiina M, Oda J, Honma K. Biopsy of non palpable breast lesions using stereotactic vacuum-assisted breast biopsy system. Jpn J Breast Cancer. 2004;19(6):557–60.

    Google Scholar 

  23. Takahashi M, Watanabe K, Taguchi K, Takahashi H, Ito T, Todo S. Usefulness of stereotactic vacuum-assisted needle (mammotome) biopsy. J Jpn Surg Assoc. 2004;65(2):302–6.

    Google Scholar 

  24. Ohsumi S, Takashima S, Aogi K, Ishizaki M, Tachibana M, Tao H, et al. Using a vacuum-assited device (Mammotome) and an upright stereotactic mammography system (Mammomat 3000). Jpn J Breast Cancer. 2001;16(1):47–52.

    Google Scholar 

  25. Takahashi K, Gomi N, Nishimura S, Tada K, Saitoh M, Makita M, et al. Stereotactic needle biopsy for breast cancer. Geka. 2002;64(7):774–8.

    Google Scholar 

  26. Ajisaka H, Ohba M, Ii T, Matsuki N, Miwa K. Clinical studies of stereotactic vacuum-assisted needle biopsy. Hokuriku Geka Gakkai Zasshi. 2006;25(1):11–2.

    Google Scholar 

  27. Nakajima S, Nakano S, Ohtsuka M, Sakata K, Yamamoto M. Stereotactic vacuum-assisted needle biopsy for microcalcification. Saitamaken Igakkai Zasshi. 2005;40(2):160–4.

    Google Scholar 

  28. Aki F, Ito S, Numamoto T. Stereotactic vacuum-assisted needle biopsy for microcalcification. Kochisi Ishikai Igaku Zasshi. 2005;10(1):178–85.

    Google Scholar 

Download references

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

Authors and 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
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Masaki Urashima
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Akiko Matsuura
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Reisuke Nishihara
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Atsushi Itoh
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Masayuki Kagemoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Kenji Higaki
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yuko Nakamura.

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

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

Keywords

Search

Navigation