Abstract
Stereotactic vacuum-assisted breast biopsy (SVAB) in the management of suspicious calcifications
Highlights
Vacuum Assisted Biopsy (VAB) is a percutaneous breast biopsy procedure which can be used in the management of non-palpable breast lesions with a variable degree of suspicion, thats, those classified with the BI-RADS (“Breast Imaging Reporting and Data System”) categories 3, 4 or 5 [1]
The current use of VAB has demonstrated, once again, the interobserver variability [11,12] to assess the diagnostic category as well as the existence of different protocols for the management of same type of image, so the Positive Predictive Value (PPV) in the reported series is quite variable [11,13,14,15,16]
We performed a retrospective review of our results, regarding the diagnostic value of stereotactic vacuum-assisted breast biopsy (SVAB) in the management of calcifications classified as BI-RADS 3, 4 and 5
Summary
Vacuum Assisted Biopsy (VAB) is a percutaneous breast biopsy procedure which can be used in the management of non-palpable breast lesions with a variable degree of suspicion, thats, those classified with the BI-RADS (“Breast Imaging Reporting and Data System”) categories 3, 4 or 5 [1].Several studies emphasize a better surgical pathological correlation of VAB with respect to other percutaneous methods such as the usual core biopsy, in which variable percentages of underestimation (in relation to the infiltration status in breast cancer) and false negatives cases (in benign, borderline or high-risk lesions: atypical epithelial hyperplasia, papillomatosis, radial scar) have been described [2,3,4,5]. Vacuum Assisted Biopsy (VAB) is a percutaneous breast biopsy procedure which can be used in the management of non-palpable breast lesions with a variable degree of suspicion, thats, those classified with the BI-RADS (“Breast Imaging Reporting and Data System”) categories 3, 4 or 5 [1]. The current use of VAB has demonstrated, once again, the interobserver variability [11,12] to assess the diagnostic category as well as the existence of different protocols for the management of same type of image (for example, the clusters of calcifications classified as BI-RADS 3), so the Positive Predictive Value (PPV) in the reported series is quite variable [11,13,14,15,16]. We performed a retrospective review of our results, regarding the diagnostic value of stereotactic vacuum-assisted breast biopsy (SVAB) in the management of calcifications classified as BI-RADS 3, 4 and 5. We reviewed the literature on this subject and we compared the results for our study with those of other authors
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