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| Surgical Breast Biopsy | |
|---|---|
 Surgeon doing a surgical breast biopsy | |
| ICD-9-CM | 85.11-85.12 |
A breast biopsy is usually done after a suspicious lesion is discovered on either mammography or ultrasound to get tissue for pathological diagnosis.[1] Several methods for a breast biopsy now exist.[2] The most appropriate method of biopsy for a patient depends upon a variety of factors, including the size, location, appearance and characteristics of the abnormality.[3] The different types of breast biopsies include fine-needle aspiration (FNA), vacuum-assisted biopsy, core needle biopsy, and surgical excision biopsy.[3][4][5] Breast biopsies can be done utilizing ultrasound, MRI or a stereotactic biopsy imaging guidance.[2][5][4][6] Vacuum assisted biopsies are typically done using stereotactic techniques when the suspicious lesion can only be seen on mammography.[5] On average, 5–10 biopsies of a suspicious breast lesion will lead to the diagnosis of one case of breast cancer.[7] Needle biopsies have largely replaced open surgical biopsies in the initial assessment of imaging as well as palpable abnormalities in the breast.[8]
- ^ Jain A, Khalid M, Qureshi MM, Georgian-Smith D, Kaplan JA, Buch K, Grinstaff MW, Hirsch AE, Hines NL, Anderson SW, Gallagher KM, Bates DD, Bloch BN (November 2017). "Stereotactic core needle breast biopsy marker migration: An analysis of factors contributing to immediate marker migration". European Radiology. 27 (11): 4797–4803. doi:10.1007/s00330-017-4851-7. PMID 28526892. S2CID 8433769.
- ^ a b Wang M, He X, Chang Y, Sun G, Thabane L (February 2017). "A sensitivity and specificity comparison of fine needle aspiration cytology and core needle biopsy in evaluation of suspicious breast lesions: A systematic review and meta-analysis". Breast. 31: 157–166. doi:10.1016/j.breast.2016.11.009. PMID 27866091.
- ^ a b Zare Mehrjardi, Mohammad; Keshavarz, Elham; Ebrahimi, Afshar; Izadpanah, Ensieh (2016-05-03). "Complications associated with ultrasound-guided breast core needle biopsy (CNB)". Zenodo. doi:10.5281/zenodo.1038518.
- ^ a b Fernández-García P, Marco-Doménech SF, Lizán-Tudela L, Ibáñez-Gual MV, Navarro-Ballester A, Casanovas-Feliu E (January 2017). "The cost effectiveness of vacuum-assisted versus core-needle versus surgical biopsy of breast lesions". Radiologia. 59 (1): 40–46. doi:10.1016/j.rx.2016.09.006. PMID 27865561.
- ^ a b c Esen G, Tutar B, Uras C, Calay Z, İnce Ü, Tutar O (July 2016). "Vacuum-assisted stereotactic breast biopsy in the diagnosis and management of suspicious microcalcifications". Diagnostic and Interventional Radiology. 22 (4): 326–33. doi:10.5152/dir.2015.14522. PMC 4956017. PMID 27306660.
- ^ Dinas K, Pratilas GC, Nasioutziki M, Vavoulidis E, Makris V, Loufopoulos PD, Kalder M (September 2018). "Clinical Significance of Fine Needle Aspiration in Managing Patients with Breast Lesions". Folia Medica. 60 (3): 364–372. doi:10.2478/folmed-2018-0002. PMID 30355841. S2CID 53024237.
- ^ Jameson, J. Harrison's Principles of Internal Medicine. Breast Cancer: McGraw-Hill.
- ^ Silverstein, Melvin (January 2009). "Where's the Outrage?". Journal of the American College of Surgeons. 208 (1): 78–79. doi:10.1016/j.jamcollsurg.2008.09.022. ISSN 1072-7515. PMID 19228507.