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10 December 2003

Stereotactic procedures under the guidance of digital mammography in the diagnosis of breast tumors

Marek Rojek, Beata Skolimowska, Zbigniew Celej, Grażyna Fronio, Rafał Huras

Pol J Radiol 2003; 68(4): 36-40 :: ID: 14671

Abstract

Background:The purpose of the study was to determine the usefulness of stereotactic procedures under the guidance of digital mammography with Loard Multi-Care’s apparatus.Material/Methods:A diagnostic material of mammography examinations included cases of 266 female patients, who underwent one of the three following procedures: 1) stereotactic fine needle biopsy, 2) stereotactic cutting needle biopsy with vacuum assistance (MIBB), and 3) a removal of pathological tissue with canula (ABBI). The group of 166 patients underwent stereotactic fine needle biopsy. The results of cytological examinations were as follows: presence of cancerous cells in 13 cases, atypical cells in 1 case, benign tumours in 152 cases (results were false negative in 12 cases).Results:The group of 66 patients underwent cutting needle biopsy with help of vacuum (MIBB). Based on pathomorphological examination it was ascertained that 64 patients had benign changes and 2 patients had malignant cancer. 94 patients underwent ABBI procedure. Pathological tissue with benign changes was removed in 79 cases. The histopathological examination revealed atypic changes in 2 cases and malignant cancer in 12 patients. All patients with malignant cancer were referred to the department of oncology.Conclusions:Stereotactic procedures (BAC, MIBB, ABBI) supported with digital mammography are reliable methods that allow us to verify focus changes in breast. The examination can be carried out in ambulatory conditions with little risk of complications. Patients with benign changes revealed in histopathological examination can avoid surgery. In cases of microcalcification or radial scar changes histopathological examination is necessary. In cases of cancer, ABBI procedure remains only a diagnostic tool.

Keywords: breast tumors, stereotactic procedures

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750