Skip to main content
SpringerLink
Log in
Book cover

Breast Cancer Screening and Diagnosis pp 233–262Cite as

Breast Intervention

  • Chapter
  • First Online:

  • 3108 Accesses

Abstract

Breast intervention has evolved over the last two decades from being confined to image guidance for surgical excision biopsy of nonpalpable abnormalities to minimally invasive per cutaneous biopsy procedures performed under mammographic, ultrasound, and MRI guidance. The rate of open surgical biopsy has seen a dramatic drop during this time period and is now used for specific indications only. This chapter provides an overview of breast interventional procedures in four sections: ultrasound-guided breast biopsy, MRI-guided biopsy, presurgical needle wire localization, and stereotactic breast biopsy.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Bruening W, Fontanarosa J, Tipton K, Teadwell JR, Launders J, Schoelles K. Systemic review: comparative effectiveness of core-needle and open surgical biopsy to diagnose breast lesions. Ann Intern Med. 2010;152(4):238–46.

    Article  PubMed  Google Scholar 

  2. Apesteguia L, Pina LJ. Ultrasound-guided core needle biopsy of breast lesions. Insights Imaging. 2011;2(4):493–500.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hoagland L, Hitt R. Technique for ultrasound-guided, percutaneous core-needle breast biopsy. Appl Radiol. 2013;42:14–9.

    Google Scholar 

  4. Liberman L. Percutaneous image-guided core breast biopsy. Radiol Clin North Am. 2002;40(3):483–500.

    Article  PubMed  Google Scholar 

  5. Nakano S, Sakamoto H, Ohtsuka M, Mibu A, Sakata H. Evaluation and indications of ultrasound-guided vacuum-assisted core needle biopsy. Breast Cancer. 2007;14(3):292–6.

    Article  PubMed  Google Scholar 

  6. O’Flynn EA, Wilson AR, Michell MJ. Image-guided breast biopsy: state of the art. Clin Radiol. 2010;65(4):259–70.

    Article  PubMed  Google Scholar 

  7. Parker S, Jobe W, Dennis M, Stavros A, Johnson K, Yakes W, truell J, Price J, Kortz A, Clark D. US-guided automated large core breast biopsy. Radiology. 1993;187:507–11.

    Article  PubMed  CAS  Google Scholar 

  8. Parker S, Lovin J, Jobe W, Luethke J, Hopper K, Yakes W, Burke B. Stereotactic breast biopsy with a biopsy gun. Radiology. 1990;176:74–747.

    Google Scholar 

  9. Prutki M, Stern-Padovan R, Jakic-Razumovic J, Potocki K, Badovinac—Crnjevic T, Golubic AT. Ultrasound guided breast biopsy—a retrospective study and literature review. Lijec Vjesn. 2012;134(9–10):270–5.

    PubMed  Google Scholar 

  10. Mueller-Holzner E, Frede T, Daniaux M, Ban M, Taucher S, Schneitter A, Zeimet A, Marth C. Ultrasound-guided core needle biopsy of the breast: does frozen section give an accurate diagnosis? Breast Cancer Res Treat. 2007;106:399–406.

    Article  PubMed  Google Scholar 

  11. Cassano E, Urban L, Pizzamiglio M, Abbate F, Maisonneuve P, Renne G, Viale G, Bellomi M. Ultrasound-guided vacuum-assisted core breast biopsy: experience with 406 cases. Breast Cancer Res Treat. 2007;102:103–10.

    Article  PubMed  Google Scholar 

  12. Ciatto S, Houssami N, Ambrogetti D, Bianchi S, Bonardi R, Brancato B, Catarzi S, Risso GG. Accuracy and underestimation of malignancy of breast core needle biopsy: the florence experience of over 4000 consecutive biopsies. Breast Cancer Res Treat. 2007;101:291–7.

    Article  PubMed  Google Scholar 

  13. Fajardo LL, Pisano ED, Caudry DJ, Gatsonis CA, Berg WA, Connolly J, Schnitt S, Page DL, McNeil BJ, Radiologist Investigators of the Radiologic Diagnostic Oncology Group V. Stereotactic and sonographic large-core biopsy of nonpalpable breast lesions: results of the Radiologic Diagnostic Oncology Group V study. Acad Radiol. 2004;11(3):293–308.

    Article  PubMed  Google Scholar 

  14. Lai HW, Wu HK, Kuo SJ, Chen ST, Tseng HS, Tseng LM, Chen DR. Differences in accuracy and underestimation rates for 14- vs 16-gauge core needle biopsies in ultrasound-detectable breast lesions. Asian J Surg. 2013;36(2):83–8.

    Article  PubMed  Google Scholar 

  15. ACR Practice guideline for the performance of ultrasound-guided percutaneous breast interventional procedures. American College of Radiology. 2009. Available at http://www.acr.org/quality-safety/standards-guidelines. Accessed 14 Jul 2013.

  16. Schueller G, Schueller-Weidekamm C, Helbich TH. Accuracy of ultrasound-guided, large-core needle breast biopsy. Eur Radiol. 2008;18(9):1761–73.

    Article  PubMed  CAS  Google Scholar 

  17. Bugbee M, Wellisch D, Arnott I, Maxwell J, Kirsch D, Sayre D, Bassett L. Breast core-needle biopsy: clinical trial of relaxation technique versus medication versus no intervention for anxiety reduction. Radiology. 2005;234(1):73–8.

    Article  PubMed  Google Scholar 

  18. Flowers C. Breast biopsy: anesthesia, bleeding prevention, representative sampling, and rad/path concordance. Appl Radiol. 2012;41:9–14.

    Google Scholar 

  19. Bard®Max-Core® Disposable core biopsy instrument instructions for use. Tempe: Bard.

    Google Scholar 

  20. Matsumoto A, Reifsnyder A, Hartwell G, Angle J, Selby JB, Tegtmeyer C. Reducing the discomfort of lidocaine administration through pH buffering. J Vasc Interv Radiol. 1994;5(1):171–5.

    Article  PubMed  CAS  Google Scholar 

  21. Pascuet E, Donnelly R, Garceau D, Vaillancourt R. Buffered lidocaine hydrochloride solution with and without epinephrine: stability in polypropylene syringes. Can J Hosp Pharm. 2009;62(5):375–80.

    PubMed  PubMed Central  Google Scholar 

  22. Kirshenbaum K, Keppke A, Hou K, Dickerson M, Gajjar M, Kirshenbaum G. Reassessing specimen number and diagnostic yield of ultrasound guided breast core biopsy. Breast J. 2012;18(5):464–9.

    Article  PubMed  Google Scholar 

  23. Thomassin-Naggara I, Lalonde L, David J, Darai E, Uzan S, Trop I. A plea for the biopsy marker: how, why, and why not clipping after breast biopsy. Breast Cancer Res Treat. 2012;132:881–93.

    Article  PubMed  Google Scholar 

  24. Tamai K, Mitsumari M, Fujishiro S, Kokubo M, Ooya N, Nagata Y, Sasai K, Hiraoka M, Inamoto T. A case report of allergic reaction to surgical metal clips inserted for postoperative boost irradiation in a patient undergoing breast conserving therapy. Breast Cancer. 2001;8(1):90–2.

    Article  PubMed  CAS  Google Scholar 

  25. Brenner RJ. Percutaneous removal of postbiopsy marking clip in the breast using stereotactic technique. Am J Roentgenol. 2001;176(2):417–9.

    Article  CAS  Google Scholar 

  26. Salkowski LR, Fowler AM, Burnside ES, Sisney GA. Utility of 6-month follow-up imaging after a concordant benign breast biopsy result. Radiology. 2011;258(2):380–7.

    Article  PubMed  Google Scholar 

  27. Uematsu T. How to choose needles and probes for ultrasonographically guided percutaneous breast biopsy: a systemic approach. Breast Cancer. 2012;19(3):238–41.

    Article  PubMed  Google Scholar 

  28. Abbate F, Cassano E, Menna S, Viale G. Ultrasound-guided vacuum-assisted breast biopsy: use at the European Institute of Oncology in 2010. J Ultrasound. 2011;14(4):177–81.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  29. Szynglarewicz B, Matkowski R, Kasprzak P, Forgacz J, Zolnierek A, Halon A, Kornafel J. Pain experienced by patients during minimal-invasive ultrasound-guided breast biopsy: vacuum-assisted vs core-needle procedure. Eu J Surg Oncol. 2011;37(5):398–403.

    Article  CAS  Google Scholar 

  30. Vandromme MJ, Umphrey H, Krontiras H. Image-guided methods for biopsy of suspicious breast lesions. J Surg Oncol. 2011;103(4):299–305.

    Article  PubMed  Google Scholar 

  31. Povoski SP, Jimenez RE, Wang WP. Ultrasound-guided diagnostic breast biopsy methodology: retrospective comparison of the 8-gauge vacuum-assisted biopsy approach versus spring-loaded 14-gauge core biopsy approach. World J Surg Oncol. 2011;9:87.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Uematsu T. Screening and diagnosis of breast cancer in augmented women. Breast Cancer. 2008;15:159–64.

    Article  PubMed  Google Scholar 

  33. Hoorntje L, Schipper M, Kaya A, Verkooijen H, Klinkenbijl J, Borel RI. Tumor cell displacement after 14G breast biopsy. Eur J Surg Oncol. 2004;30:520–5.

    Article  PubMed  CAS  Google Scholar 

  34. Suh YJ, Kim MJ, Kim EJ, Moon HJ, Kwak JY, Koo HR, Yoon JH. Comparison of the underestimation rate in cases with ductal carcinoma in situ at ultrasound-guided core biopsy:14-gauge automated core-needle biopsy vs 8- or 11-gauge vacuum-assisted biopsy. Br J Radiol. 2012;85(1016):e349–56.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  35. Zhang C, Lewis DR, Nasute P, Hayes M, Warren LJ, Gordon PB. The negative predictive value of ultrasound-guided 14-gauge core needle biopsy of breast masses: a validation study of 339 cases. Cancer Imaging. 2012;12:488–96.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Szynglarewicz B, Kasprzak P, Kornafel J, Forgacz J, Pudelko M, Majewski A, Matkowski R. Duration time of vacuum-assisted biopsy for nonpalpable breast masses: comparison between stereotactic and ultrasound-guided procedure. Tumori. 2011;97(4):517–21.

    PubMed  Google Scholar 

  37. Ojeda-Fournier H, Nguyen JQ. Ultrasound evaluation of regional breast lymph nodes. Semin Roentgenol. 2011;46(1):51–9.

    Article  PubMed  Google Scholar 

  38. Pagani C, Coscia DR, Dellabianca C, Bonardi M, Alessi S, Calliada F. Ultrasound guided fine-needle aspiration cytology of breast lesions. J Ultrasound. 2011;14(4):182–7.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  39. Vargas H, Agbunag R, Khalkhali I. State of the art of minimally invasive breast biopsy: principles and practice. Breast Cancer. 2000;7(4):370–9.

    Article  PubMed  CAS  Google Scholar 

  40. Morris E, Liberman L. Breast MRI. New York: Springer; 2005.

    Google Scholar 

  41. Bassett L, Winchester D, Caplan R, et al. Stereotactic core-needle biopsy of the breast: a report of the Joint Task Force of the American College of Radiology, American College of Surgeons, and College of American Pathologists. CA Cancer J Clin. 1997;47:171–90.

    Article  PubMed  CAS  Google Scholar 

  42. Morris E. ACR practice guideline for the performance of magnetic resonance imaging-guided breast interventional procedures. Am Coll Radiol [serial online]. 2011.

    Google Scholar 

  43. LaTrenta L, Menell J, Morris E, et al. Breast lesions detected with MR imaging utility and histopathologic importance of identification with US. Radiology. 2003;227:856–61.

    Article  PubMed  Google Scholar 

  44. Philpotts L. MR intervention: indications, techniques, and histologic. In: Moy L, Mercado C, editors. Magnetic resonance imaging clinics of North America. Philadelphia: W.B. Saunders Company; 2010. p. 323–32.

    Google Scholar 

  45. Fisher U, Practical MR. Mammography. New York: Thieme; 2004.

    Google Scholar 

  46. Cardenosa G. Breast imaging companion. Philadelphia: Lippincott Williams & Wilkins; 2008.

    Google Scholar 

  47. Wilson R, Kavia S. Comparison of large-core vacuum-assisted breast biopsy and excision systems. In: Brun del Re R, editor. Minimally invasive breast biopsies. New York: Springer; 2009.

    Google Scholar 

  48. Ojeda-Fournier H. MRI-guided breast biopsy. In: Presented at the 10th clinical breast imaging 2013 symposium, Tampa, 2013.

    Google Scholar 

  49. Jackman R, Lamm R. Stereotactic histologic biopsy in breasts with implants. Radiology. 2002;222:157–64.

    Article  PubMed  Google Scholar 

  50. Yim JH, Barton PM, Weber B, Radford D, et al. Mammographically detected breast cancer. Benefits of stereotactic core vs wire localization biopsy. Ann Surg June. 1996;223(6):688–700.

    Article  CAS  Google Scholar 

  51. White RR, Halperin TJ, Olson AJ, et al. Impact of core-needle biopsy on the surgical management of mammographic abnormalities. Ann Surg. 2001;233(6):769–77.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  52. Whitten TM, Wallace TW. Image guided core biopsy has advantages over needle localization biopsy for the diagnosis of nonpalpable breast cancer. Am Surg. 1997;63:1072.

    PubMed  CAS  Google Scholar 

  53. Fahy BN, Bold RJ, Schneider PD, Khatri V, Goodnight JE. Cost-benefit analysis of biopsy methods for suspicious mammographic lesions. Arch Surg. 2001;136:990–4.

    Article  PubMed  CAS  Google Scholar 

  54. Cardenosa G. Breast imaging companion. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 414–33.

    Google Scholar 

  55. Reynolds HE, Jackson VP, Musick BS. Preoperative needle localization in the breast: utility of local anesthesia. Radiology. 1993;187:503–5.

    Article  PubMed  CAS  Google Scholar 

  56. Jackman RJ, Marzoni FJ. Needle localized breast biopsy. Why do we fail? Radiology. 1997;204(3):677–84.

    Google Scholar 

  57. Abrahamson PE, Dunlap LA, Amamoo MA, Schell MJ, Braeuning MP, Pisano ED. Factors predicting successful needle-localized breast biopsy. Acad Radiol. 2003;10:601–6.

    Article  PubMed  Google Scholar 

  58. Martinez SR, Gelfand M, Hourani HS, Sorrento JJ, Mohan EP. Cardiac injury during needle localized surgical breast biopsy. J Surg Oncol. 2003;82(4):261–5.

    Article  PubMed  Google Scholar 

  59. Helvie MA, Ikeda DM, Adler DD. Localization and needle aspiration of breast lesions: complications in 370 cases. AJR Am J Roentgenol. 1991;157:711–4.

    Article  PubMed  CAS  Google Scholar 

  60. Bimston DN, Bebb GG, Wagman LD. Is specimen mammography beneficial? Arch Surg. 2000;135:1083–8.

    Article  PubMed  CAS  Google Scholar 

  61. Lee KY, Seo BK, Ann Y, et al. Immersion ultrasonography of excised non palpable breast lesion specimens after ultrasound-guided needle localization. Korean J Radiol. 2008;9:312–9.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Verkooijen HM, Peeters PHM, Pijnappel RM, Koot VCM, Schipper MEI, Borel Rinkes IHM. Diagnostic accuracy of needle-localized open breast biopsy for impalpable breast disease. Brit J Surg. 2000;87:344–7.

    Article  PubMed  CAS  Google Scholar 

  63. Carr JJ, Hemler PF, Halford PW, Freimanis RI, Choplin RH, Chen MY. Stereotactic localization of breast lesions: how it works and methods to improve accuracy. Radiographics. 2001;21(2):463–73.

    Article  PubMed  CAS  Google Scholar 

  64. Available at http://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/Stereotactically_Guided_Breast.pdf.

  65. Kushner DC, Lucey LL. Diagnostic radiology reporting and communication: the ACR guideline. J Am Coll Radiol. 2005;2(1):15–21.

    Article  PubMed  Google Scholar 

Bibliography

  • Bassett LW, Mahoney MC, Apple SK. Interventional breast imaging: current procedures and assessing for concordance with pathology. Radiol Clin North Am. 2007;45(5):881–94.

    Article  PubMed  Google Scholar 

  • Bitencourt AG, Cohen MP, Graziano L, Souza JA, Marques EF, Brites MR, Chojniak R. Pseudoaneurysm after ultrasound-guided vacuum-assisted core breast biopsy. Breast J. 2012;18(2):177–8.

    Article  PubMed  Google Scholar 

  • Bulte J, Polman L, Schlooz-Vries M, Werner A, Besselink R, Sessink K, Mus R, Lardenoije S, Imhof-Tas M, Bulten J, van Eagen-van Grunsven ACH, Schaafsma E, Strobbe LJA, Bult P, De Wit JHW. One-day core needle biopsy in a breast clinic: 4 years experience. Breast Cancer Res Treat. 2013;137:609–16.

    Article  PubMed  Google Scholar 

  • Dempsey P. New ultrasound-based imaging technologies are claimed to avoid unnecessary breast biopsies, but what is an “unnecessary” image-guided needle biopsy of the breast? J Clin Ultrasound. 2010;38(3):111–2.

    PubMed  Google Scholar 

  • Kibil W, Hodorowicz-Zaniewska D, Kulig J. Mammotome biopsy under ultrasound control in the diagnostics and treatment of nodular breast lesions- own experience. Pol Przegl Chir. 2012;84(5):242–6.

    PubMed  Google Scholar 

  • Koo JS, Han K, Kim MJ, Moon HJ, Kim EK, Park BW. Can additional immunohistochemistry staining replace the surgical excision for the diagnosis of papillary breast lesions classified as benign on 14-gage core needle biopsy? Breast Cancer Res Treat. 2013;137(3):797–806.

    Article  PubMed  Google Scholar 

  • Kurita T, Tsuchiya S, Wtarai Y, Yamamoto Y, Harada O, Yanagihara K, Iida S, Yamashita K, Haga S, Uchida E. Roles of fine-needle aspiration and core needle biopsy in the diagnosis of breast cancer. Breast Cancer. 2012;19:23–9.

    Article  PubMed  Google Scholar 

  • Lein BC, Alex WR, Zebley DM, Pezzi CM. Results of needle localized breast biopsy in women under age 50. Am J Surg. 1996;171:356–9.

    Article  PubMed  CAS  Google Scholar 

  • Markopoulos C, Phil M, Kakisis J, et al. Management of nonpalpable, mammographically detectable breast lesions. World J Surg. 1999;23:434–89.

    Article  PubMed  CAS  Google Scholar 

  • Murray MP, Luedtke C, Liberman L, Nehhozina T, Akram M, Brogi E. Classic lobular carcinoma in situ and atypical lobular hyperplasia at percutaneous breast core biopsy: outcomes of prospective excision. Cancer. 2013;119(5):1073–9.

    Article  PubMed  Google Scholar 

  • Nasrinossadat A, Ladan F, Fereshte E, Asieh O, Reza C, Akramossadat S, Golshan M. Marking non-palpable breast masses with injected methylene blue dye, an easy, safe and low cost method for developing countries and resource limited areas. Asian Pac J Cancer Prev. 2011;12(5):1189–92.

    PubMed  Google Scholar 

  • Smetherman DH. Screening, imaging, and image-guided biopsy techniques for breast cancer. Surg Clin North Am. 2013;93(2):309–27.

    Article  PubMed  Google Scholar 

  • Son EJ, Oh KK, Kim EK. Pregnancy-associated breast disease: radiologic features and diagnostic dilemmas. Yonsei Med J. 2006;47(1):34–42.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stavros AT. Breast ultrasound. Philadelphia: Lippincott Williams & Wilkins; 2004.

    Google Scholar 

  • Taskin F, Unsal A, Ozbas S, Erkus M, Karaman C. Fibrotic lesions of the breast: radiological findings and core-needle biopsy results. Eur J Radiol. 2011;80(3):e231–6.

    Article  PubMed  Google Scholar 

  • Tran DQ, Wilkerson DK, Namm J, Zeis MA, Cottone FJ. Needle-localized breast biopsy for mammographic abnormalities: a community hospital experience. Am Surg. 1999;65:281–7.

    Google Scholar 

  • Wiratkapun C, Treesit T, Wibulpolprasert B, Lertsithichai P. Diagnostic accuracy of ultrasound-guided core needle biopsy for breast lesion. Singapore Med J. 2012;53(1):40–5.

    PubMed  CAS  Google Scholar 

  • Yao F, Li J, Wan Y, Zhong Y, Wei W, Tu Y, Tong H, Sun S. Sonographically guided vacuum-assisted breast biopsy for complete excision of presumed benign breast lesions. J Ultrasound Med. 2012;31(12):1951–7.

    PubMed  Google Scholar 

  • Youk JH, Kim EK, Kim MJ, Lee JY, Oh KK. Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 2007;27:79–94.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Woman’s Hospital of Texas, Houston, TX, 77054, USA

    Nan M. Garrett MD, Candace E. Roberts MD & Karen E. Gerlach MD, MS

  2. Department of Radiology, Baylor College of Medicine, Houston, TX, 77054, USA

    Candace E. Roberts MD & Mahesh K. Shetty MD, FRCR, FACR, FAIUM

  3. Woman’s Center for Breast Care and MRI, Woman’s Hospital of Texas, Houston, TX, 77054, USA

    Mahesh K. Shetty MD, FRCR, FACR, FAIUM

Authors
  1. Nan M. Garrett MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Candace E. Roberts MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Karen E. Gerlach MD, MS
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mahesh K. Shetty MD, FRCR, FACR, FAIUM
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mahesh K. Shetty MD, FRCR, FACR, FAIUM .

Editor information

Editors and Affiliations

  1. The Woman's Hospital of TexasWomen's Department of Radiology,, Baylor College of Medicine, Centre for Breast Care and MRI., Houston, Texas, USA

    Mahesh K Shetty

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Garrett, N.M., Roberts, C.E., Gerlach, K.E., Shetty, M.K. (2015). Breast Intervention. In: Shetty, M. (eds) Breast Cancer Screening and Diagnosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1267-4_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1267-4_12

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1266-7

  • Online ISBN: 978-1-4939-1267-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation