ABSTRACT
OBJECTIVE: To propose a rational attitude to treat infraclinic breast lesions about a 176-case retrospective analysis. PATIENTS AND METHODS: Between January and December 2000, 176 patients were addressed for an infraclinic breast lesion. The epidemiologic and mammographic data, diagnostic management and histological results were collected. RESULTS: Patients were addressed for an ACR 2 lesion in 0.8% of cases, ACR 3: 34.8%, ACR 4: 43.2% and ACR 5: 21.2%. One hundred and sixteen patients underwent a stereotactic macrobiopsy: 55 Advanced Breast Biopsy Instrumentation (ABBI), 61 Minimal Invasive Breast Biopsy (MIBB). Histologically, 59.5% were benign, 33.6% malignant, 2.6% borderline and 4.3% suspicious or non contributive. Forty-two patients underwent an open surgical biopsy. Histologically 56.1% were benign, 41.5% malignant and 2.4% borderline. Eighteen patients were controlled by mammography. Among ACR 3s there were 90% of benign lesions and 46% of malignancy in ACR 4s. Patients with malignant, borderline or suspicious result in stereotactic biopsy, underwent one-time surgery in 97% vs 55% in surgical biopsy (P < 0.0001). DISCUSSION AND CONCLUSION: Infraclinic breast lesions must be radiologically classified with the ACR classification. Stereotactic macrobiopsies are reserved for ACR 4 and ACR 5 lesions. Because of their reliability, practice of macrobiopsies avoids surgery in about 50% of ACR 4 lesions which correspond to benign lesions. When the result is malignant, it allows most of times surgical procedure one-time.
Subject(s)
Breast Neoplasms/classification , Breast Neoplasms/diagnosis , Breast/pathology , Adult , Aged , Biopsy, Needle/methods , Breast Neoplasms/surgery , Female , Humans , Mammography/methods , Middle Aged , Palpation , Radiography, Interventional , Retrospective Studies , Stereotaxic Techniques , Treatment OutcomeABSTRACT
UNLABELLED: Today, the widespead use of mammography has increased the detection of suspected nonpalpable lesions. Accordingly, the number of surgical biopsies is higher. PURPOSE: Evaluation of Advanced Breast Biopsy Instrumentation (ABBI) system as a promising alternative to conventional surgical biopsy in stereotactic excisional breast biopsies less than 20 mm. METHODS: From October 1998 and May 1999, 33 women have had: stereotactic excisional breast biopsies less than 20mm using ABBI. Epidemiologic, mammographic and histologic datas were collected. RESULTS: Mammographic finding were 23 microcalcifications and 10 nonpalpable solid nodular densities. In 25 cases, pathology were benign (79%), 7 cases (21%) were cancer. In these cases, the cancer could be treated later, with a single surgical procedure. No complication occurred and tolerance was excellent in most cases. CONCLUSION: Stereotactic excisional breast biopsies less than 20 mm using ABBI is a very good alternative (reliable, reproducible, ambulatory, very weak morbidity) to surgical biopsy.
Subject(s)
Biopsy/instrumentation , Breast Neoplasms/pathology , Stereotaxic Techniques , Anesthesia, Local , Biopsy/methods , Breast Diseases/pathology , Calcinosis/pathology , Female , Humans , Middle AgedABSTRACT
The role of radiography is of the utmost importance in the diagnosis of mucoceles. The use of plain films and tomograms enabled us to make the exact diagnosis of mucocele 19 out of 26 times. The patients had a mechanical proptosis, one sinus with a subnormal transparency was enlarged, and its walls were either thinned or broken at the place of a structural process of alteration. Orbital venography shows the venous shifting and ascertains the posterior extension and the extra-conal location of the tumour.
