Article Sidebar

PDF
Date Published: 15/06/2022
Online Published: 15/06/2022
Abstract Views: 130
Views PDF: 74
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

TÀI LIỆU THAM KHẢO
1. Ferlay J, H.C., Autier P, Global burden of breast cancer Breast cancer epidemiology, 2010: p. 1-11.
2. Society, A.C., Cancer Facts and Figures 2019. 2019: p. 10- 11.
3. Dieu B, D.N., Thuan TV, Cancer challenges and national cancer control programs to 2020. Viet Nam J Oncol, 2012. 4(13): p. 13-18.
4. Jackman RJ, B.F., Parker SH, Stereotactic breast biopsy of nonpalpable lesions: determinants of ductal carcinoma in situ underestimation rates. Radiology 2001. 218: p. 497- 502.
5. Whitman GJ, E.-D.B., Yang WT, Ultrasound-guided breast biopsies. Ultrasound Clinics 2006. 1: p. 603- 615.
6. Jun Liu, L.H., Image-guided vacuum-assisted breast biopsy in the diagnosis of breast microcalcifications. Journal of International Medical Research, 2018. 46(7): p. 2743- 2753.
7. Yun-Chung Cheung, Y.-H.J., Assessment of Breast Specimens With or Without Calcifications in Diagnosing Malignant and Atypia for Mammographic Breast Microcalcifications Without Mass. Medicine, DIAGNOSTIC ACCURACY STUDY, 2015. 94(42).
8. Esen G, T.B., Uras C, Vacuum-assisted stereotactic breast biopsy in the diagnosis and management of suspicious microcalcifications. Diagn Interv Radiology, 2016. 22: p. 326- 333.
9. Burnside ES, O.J., Fowler KJ, Use of microcalcification descriptors in BI-RADS 4th edition to stratify risk of malignancy. . Radiology, 2007. 242: p. 388- 395.
10. Uwe Fischer, F.B., Stereotactic Vacuum-assisted Biopsy, in Interventional breast imaging. 2010, Thieme Stuttgart New York. p. 47- 60.
11. Panagiotis M. Safioleas, D.K., The value of stereotactic vacuum assisted breast biopsy in the investigation of microcalcifications. A six-year experience with 853 patients. Journal of Balkan Union of Oncology, 2017. 22(2): p. 340- 346.
12. Penco S, R.S., Bozzini AC,, Stereotactic vacuum-assisted breast biopsy is not a therapeutic procedure even when all mammographically found calcifications are removed: analysis of 4086 procedures. . AJR Am J Roentgenol 2010. 195: p. 1255- 1260.
13. O’Flynn EA, M.J., Gonzalez J,, Prediction of the presence of invasive disease from the measurement of extent of malignant microcalcification on mammography and ductal carcinoma in situ grade at core biopsy. . Clin Radiol 2009. 64: p. 178–183.