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Radiology, Vol 183, 631-634, Copyright © 1992 by Radiological Society of North America


ARTICLES

Stereotaxic core biopsy of breast lesions

DJ Dronkers
Department of Radiology, Ziekenhuis Velp, The Netherlands.

In 70 selected patients with suspect breast lesions at mammography, accurate, high-speed stereotaxic core-cut biopsy (SCCB) was performed with a biopsy gun. In 17 of the patients, no surgery was performed. The results of SCCB were normal in 11 of these patients; in six patients, the lesion disappeared after SCCB. In 53 of the patients, SCCB was followed by surgical biopsy. In 48 cases (91%), the results of SCCB and surgical biopsy were concordant. Of the 45 carcinomas found at surgery, 41 (91%) were correctly diagnosed with SCCB. There were no false- positive results. SCCB was nondiagnostic (no representative material sampled) in three patients (6%), and in two patients (4%) a false- negative result was obtained. The infiltrating character of the tumor was correctly diagnosed with SCCB in 80% of cases. These results confirm that this radiologic procedure is an acceptable alternative to excisional biopsy.


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