Present State of and Problems with Core Needle Biopsy for Non-Palpable Breast Lesions

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  • Iwase Takuji
    Department of Breast Surgery, Cancer Institute Hospital
  • Takahashi Kaoru
    Department of Breast Surgery, Cancer Institute Hospital
  • Gomi Naoya
    Department of Radiology, Cancer Institute Hospital
  • Horii Rie
    Department of Breast Pathology, Japanese Foundation for Cancer Research
  • Akiyama Futoshi
    Department of Breast Pathology, Japanese Foundation for Cancer Research

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Abstract

The widespread use of screening mammography has resulted in increased detection of nonpalpable breast lesions here in Japan. For the histopathologic work-up of these lesions, stereotactic core biopsy is essential as a minimally invasive diagnostic procedure. However, the number of facilities that provide this procedure cannot keep up with the increasing demand from patients.<BR>Another issue is interpreting the results of the biopsy. With a histological diagnosis using needle samples, there is always a risk of underestimation or a false-negative result. To avoid missing cancers after stereotactic biopsy, it is important to check for sampling errors and for discrepancies between the radiologic and pathologic findings.<BR>We are pushing for the rapid spread of an ideal form of stereotactic breast core biopsy (using prone-type units, digital methods, and vacuum-assisted breast biopsy devices) throughout Japan so that every patient can undergo this examination.

Journal

  • Breast Cancer

    Breast Cancer 13 (1), 32-37, 2006

    The Japanese Breast Cancer Society

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