ABSTRACT
Objective@#To evaluate the clinical feasibility and advantages of ultrasound guided mammotome biopsy for micro-calcifications visible in mammography.@*Methods@#A total of 12 patients with mammography-revealed micro-calcifications examined by ultrasound guided vacuum-assisted biopsy in our hospital from Jun. 2017 to Dec. 2018 were enrolled in this study and their medical records data were analyzed.@*Results@#All 12 patients had accepted pre-biopsy ultrasound localization and all micro-calcifications were successfully excised. Among 12 cases, 4 were revealed as benign breast diseases and 8 were diagnosed as breast cancer.@*Conclusions@#Ultrasound guided mammotome biopsy is found to be an alternative method to stereotactic biopsy in patients with US-detectable micro-calcifications, and re-scan ultrasonography focusing on the specific microcalcification area may be helpful for improving the ultrasound detection rate of micro-calcifications.
ABSTRACT
Objective To evaluate the clinical feasibility and advantages of ultrasound guided mammo-tome biopsy for micro-calcifications visible in mammography. Methods A total of 12 patients with mammogra-phy-revealed micro-calcifications examined by ultrasound guided vacuum-assisted biopsy in our hospital from Jun. 2017 to Dec. 2018 were enrolled in this study and their medical records data were analyzed. Results All 12 patients had accepted pre-biopsy ultrasound localization and all micro-calcifications were successfully excised. A-mong 12 cases, 4 were revealed as benign breast diseases and 8 were diagnosed as breast cancer. Conclusions Ul-trasound guided mammotome biopsy is found to be an alternative method to stereotactic biopsy in patients with US-detectable micro-calcifications, and re-scan ultrasonography focusing on the specific microcalcification area may be helpful for improving the ultrasound detection rate of micro-calcifications.
ABSTRACT
Analizar las características de las microcalcificaciones en un grupo de pacientes clasificados como clase III, IV y V; y correlacionarlos con los resultados histológicos. Entre mayo 2004 y mayo 2009 se biopsiaron 165 pacientes bajo guía estereotáxica de las cuales 7 fueron clase III, 142 clase IV y 16 clase V. Se analizaron: por número, área, forma y distribución para establecer la clase mastológica y se correlacionaron con la histología. La clase mastológica predominante fue clase IV 142 pacientes (86,06 por ciento), clase V 16 pacientes (9,70 por ciento) y clase III 7 pacientes (4,24 por ciento), las características morfológicas predominantes fueron las microcalcificaciones amorfas (43,03 por ciento), el resultado histopatológico de las microcalcificaciones amorfas agrupadas se relacionan en mayor porcentaje con lesiones benignas 58,9 por ciento, mientras que las microcalcificaciones granulares segmentarias se relacionan predominantemente con lesiones proliferativas malignas 85,61 por ciento y 80 por ciento respectivamente, el fibroadenoma mamario fue el más frecuente con 20 casos (22,47 por ciento), de las lesiones proliferativas típicas la adenosis esclerosante fue predominante en 40 casos (59,70 por ciento), de lesiones proliferativas atípicas, la atipia epitelial plana tuvo mayor incidencia 7 (58,33 por ciento) y la patología maligna el carcinoma intraductal con 27 casos (50,94 por ciento). Existe correlación entre la morfología y distribución de las microcalcificaciones con respecto al resultado de anatomía patológica, microcalcificaciones amorfas agrupadas se relacionan con patología benigna, mientras que microcalcificaciones granulares segmentarias y amorfas segmentarias se correlacionan con patología proliferativa y maligna.
Analyzing the characteristics of micro calcifications biopsy under stereotactic guidance in group of patients classified class III, IV, V, correlate with histological results. In service imaging and intervention of unit Mastology, Barcelona period May 2004-May 2009 biopsied 206 patients were guided by stereotaxic micro calcifications which 7 were class III 142 class IV 16 class V. Analyzed number, area, shape, and distribution to establish the class mastologic and correlated with histological. 181 patients with diagnosis of microcalcifications, which are considered suspect classification BIRADS. The class was predominant s IV 142 patients (86.06 percent), followed by class V 16 patients (9.70 percent) class III and 7 patients (4.24 percent), the predominant morphological feature were clustered amorphous micro calcifications (43.03 percent), with regard to histopathologic results are clustered amorphous microcalcifications associated with greater percentage benign lesions 58.9 percent, while the segmental granular and amorphous microcalcifications relate predominantly segmental proliferative and malignant lesions and 80 percent 85.61 percent respectively, of the lesions found fibroadenoma was the most frequent with 20 cases (22.47 percent), proliferative lesions typical of sclerosing adenosis was predominant 40 cases (59.70 percent) atypical proliferative lesions, flat epithelial atypia had higher incidence 7 (58.33 percent) malignant pathology the intraductal carcinoma 27 cases (50.94 percent). Correlation between morphology distributions of micro calcifications on the outcome pathologic clustered amorphous micro calcifications associated with benign disease, while segmental granular amorphous micro calcifications correlated with segmental proliferative and malignant.