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Vacuum-assisted breast biopsy in close proximity to the skin: a case report

DOI: 10.1186/1752-1947-2-165

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Abstract:

A 53-year-old woman presented with a newly developed, non-palpable lesion in her left breast. The lesion consisted of widely spread microcalcifications located approximately 5 mm from the skin. The lesion was isoechoic on ultrasound examination. Vacuum-assisted breast biopsy was scheduled (on the Fischer's table, using 11-gauge probes, under local anaesthesia). The vacuum-assisted breast biopsy probe was inserted antidiametrically into the breast, the probe reached the lesion and effort was made to excise the microcalcifications. As only a small proportion of the microcalcifications were excised an accurate diagnosis could not be expected. However, with the probe having entered the breast antidiametrically, the probe tip underlying the skin could be palpated. Following the palpation of the tip, the exact point was marked by a pen, the probe was removed and the patient was transferred to the surgery room to have the remaining lesion removed by a spindle-form excision under local anaesthesia. The mammogram of the removed specimen confirmed the total excision of the suspicious microcalcifications.Isoechoic superficial lesions can be localized with a hook-wire and open breast biopsy under general or local anaesthesia can be performed. However, vacuum-assisted breast biopsy might offer an alternative solution and serve as an alternative approach to localize the lesion. The clinical significance of the present exploratory effort remains to be assessed in the future.Vacuum-assisted breast biopsy (VABB) is a minimally invasive technique used increasingly for the assessment of mammographically detected, non-palpable breast lesions [1,2]. The effectiveness of VABB has been demonstrated on lesions both with and without microcalcifications [3,4]. The sensitivity, specificity and fast performance of the method have contributed to its gradual establishment in the workup of suspicious breast lesions [1,2,5].The contraindications of the method are few, but they do exist. Stereotact

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