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Volume 7
OMICS Journal of Radiology
Radiology and Oncology 2018
July 16-17, 2018
Page 46
conference
series
.com
July 16-17, 2018 Dubai, UAE
Radiology and Oncology
2
nd
World Congress on
Breast intervention from basic to advanced
A
biopsy remains the standard technique for diagnosing both palpable and non palpable breast abnormalities and is the
preferred initial method of evaluating almost all breast masses (Burstein, 2011). Studies have shown that the combination
of a physical examination, radiographic imaging and histopathological confirmation, also referred to as “the triple-test”, can
produce accuracy levels of over 90% when all three components are concordant for benign or malignant disease (Singhal,
2008).Under certain circumstances when a mass or radiographic abnormality is categorized as probably benign in the
presence of high patient anxiety, family history of breast cancer, or poor likelihood of compliance with recommended
six-month follow-up imaging, a breast biopsy may be recommended for category three lesions (American Cancer Society,
[ACS], 2011; National Comprehensive Cancer Network. A number of well-designed studies have demonstrated the safety
and clinical utility of minimally invasive breast biopsy methods relative to open surgical biopsy. Advantages include less
discomfort for the patient, a reduction in scarring and cosmetic defect, less invasive procedure, and quicker patient recovery.
Percutaneous methods:
Small needles:
• Fine-Needle Aspiration Biopsy (FNAB)
• Core Needle Biopsy (CNB): Automated spring-loaded core needle.
Large needles:
• Vacuum Assisted core needles.
• Breast lesion excision system (Intact™)
• Virtual needle: HIFU, high intensity focused ultrasound
The following ultrasound guided procedures:
1. FNB of solid lesions
2. Core biopsy of solid lesions
3. Open surgical biopsy after Wire localization of non palpable lesions.
4. Vacuum assisted biopsy & closed excision of benign breast masses.
5. Percutaneous Cyst aspiration or abscess & seroma drainage.
6. Metallic clip placement to follow the effect of chemotherapy.
Large needle procedures:
BLES & VAB are two advanced automated large needle breast biopsy methods .To date , there is no clear international guide lines
regarding the indications however we will try to put preferential indications of each technique based on the available international
publications , NICE guideline (UK) as well as our experience in the two techniques ( 2000 VAB in 9 years and 300 BLES in 2yrs).
What is VAB ?
It is done using a percutaneous device developed specifically for breast biopsy. It is a sort of advanced large core needle biopsy. It
utilizes vacuum assistance coupled with a high speed rotating cutter to acquire tissue samples.
Naglaa Mohamed Abdel Razek
Cairo University, Egypt
Naglaa Mohamed Abdel Razek, OMICS J Radiol 2018, Volume 7
DOI: 10.4172/2167-7964-C1-021