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Date Published: 15/06/2022
Online Published: 15/06/2022
Abstract Views: 97
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DOI: https://doi.org/10.55046/vjrnm.39.186.2020
Issue
No. 39 (2020)
Section
Scientific research
How to Cite
Nguyen, T. N. M., Nguyen, X. H., Luu, H. N., Nguyen, T. H., Lai, T. H., Nguyen, T. T., Nguyen, T. T. T., Nguyen, M. T., Pham, T. L., & Quach, T. H. (2022). Initial assessment the value of vaccum assisted biopsy technique in diagnosis breast microcalcification lesions. Vietnamese Journal of Radiology and Nuclear Medicine, 39, 29-34. https://doi.org/10.55046/vjrnm.39.186.2020

Initial assessment the value of vaccum assisted biopsy technique in diagnosis breast microcalcification lesions

Nguyen Thi Ngoc Minh1, Nguyen Xuan Hien1, Luu Hong Nhung1, Nguyen Thu Huong2, Lai Thu Huong1, Nguyen Thanh Thuy1, Nguyen Thi Thu Thao1, Nguyen Minh Trang1, Pham Thuy Linh1, Quach Thu Hoa1,
1 Bach Mai Hospital
2 Vinmec Hospital

Main Article Content

Abstract

SUMMARY


Objective: The purpose of this article is initial assessment the value
of vaccum assited biopsy technique in diagnosis breast microcalcification
lesions.
Materials and Methods: The prospective study included 17 women with 18 breast microcalcification lesions without mass that were classified BIRADS 4- 5.All lesions underwent imaging- vaccum assisted biopsy between August 2019 and July 2020 in Radiology Centre- Bach Mai Hospital.
Results: The study involved 2 lesions with stereostatic vaccum assited biopsy- SVAB and 16 lesions with ultrasound guided vaccum assisted biopsy- USVAB. The mean duration of procedure was 53.22 ± 15.06 (minutes).The median number specimen was 10.9 ± 4.2. All lesions had microcalcifications in specimens. In terms of complications, the mild pain rate was 27.8% and 1/18 (5.6%) had hematoma without surgery. Biopsy results revealed 7 benign and 11 malignant lesions. The malignant rate in
fine pleomorphic, amorphous and linear microcalcification were 87.5%, 33.3% and 100%, respectively.The malignant rate in regional, segmental
and cluster distribution were 50%, 71.4% and 57.1%, respectively.9/11 malignant lesions had histopathologic results after surgery. The total upgrade rate at surgery was 22.2% (all for ductal carcinomas in situ-
DCIS). Patients with benign lesions were followed up for a median period of 6 months, with no interval change. The sensitivity, specificity, positive
predictive and negative predictive value of VAB in diagnostic breast microcalcification were 100%.
Conclusion: Our first experiences: Image-guided vacuum-assisted
breast biopsy is accurate, reliable and minimally invasive.It can be used as a safe approach for diagnosis in patients with breast microcalcifications.

Article Details

Keywords

VABB, breast microcalcification

References

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