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2017 ; 23
(5
): 333-338
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Lesion characteristics, histopathologic results, and follow-up of breast lesions
after MRI-guided biopsy
#MMPMID28830847
Ta?k?n F
; Soyder A
; Tanyeri A
; Öztürk VS
; Ünsal A
Diagn Interv Radiol
2017[Sep]; 23
(5
): 333-338
PMID28830847
show ga
PURPOSE: We aimed to assess the effectiveness of magnetic resonance imaging
(MRI)-guided vacuum-assisted breast biopsy (VABB), evaluate and compare the
characteristics and histopathologic findings of lesions, and overview the
follow-up results of benign lesions. METHODS: MRI findings and histopathologic
results of breast lesions biopsied by MRI-guided VABB between 2013 and 2016 were
retrospectively analyzed. MRI findings closely related with malignancy were
investigated in particular. Follow-up results of benign lesions were evaluated.
RESULTS: MRI-guided VABB was applied to 116 lesions of 112 women. Of the lesions,
75 (65%) were benign, while 41 (35%) were malignant. Segmental (94%), clustered
(89%), and clustered ring (67%) non-mass-like enhancement patterns were found to
be more related with malignancy. False-negative rate of MRI-guided VABB was 12%,
underestimation rate was 21%. One of the 54 followed-up benign lesions had a
malignant result. CONCLUSION: MRI-guided VABB is a reliable method for the
diagnosis of breast lesions that are positive only on MRI. Follow-up results show
that cancer detection rate is low for radio-pathologically concordant lesions.
Further multicenter studies with larger patient population are needed to
elucidate these results.