Causes of failure in removing calcium in microcalcification-only lesions using 11-gauge stereotactic vacuum-assisted breast biopsy

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dc.contributor.authorGumus, Hatice
dc.contributor.authorGumus, Metehan
dc.contributor.authorDevalia, Haresh
dc.contributor.authorMills, Philippa
dc.contributor.authorFish, David
dc.contributor.authorJones, Peter
dc.contributor.authorUyar, Asur
dc.date.accessioned2024-04-24T17:24:23Z
dc.date.available2024-04-24T17:24:23Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractPURPOSE The aim of this study was to determine the causes and rate of failure in removing calcification in microcalcification-only lesions using 11-gauge stereotactic vacuum-assisted breast biopsy. MATERIALS AND METHODS In total, 1365 microcalcification-only lesions were included in this study. The breast biopsy database was reviewed retrospectively. The biopsies were divided into two groups based on whether the specimen X-ray showed calcium within the cores. Breast composition, lesion size, calcification distribution, density on mammography, and the number of specimens were compared between the two groups. RESULTS In 11 (0.8%) biopsies, no calcium in the specimen radiography could be identified. Re-biopsy was performed in five cases. The initial biopsy result was unchanged at the second biopsy in three cases containing calcium, while in the other two cases, a benign biopsy result was upgraded to atypical ductal hyperplasia and ductal carcinoma in situ, respectively. In six cases, the biopsy was not repeated despite the absence of calcium in the specimen X-ray. In three of these cases, calcifications were reported histopathologically and deemed to be too small to be identified on specimen X-ray. In two of six patients, sufficient information was found in the cores without microcalcification to indicate the need for surgery. One patient refused re-biopsy. A statistically significant higher failure rate was observed in low-density calcification compared with intermediate or high-density calcification on mammography. CONCLUSION The failure to retrieve microcalcification is uncommon when an 11-gauge vacuum-assisted breast biopsy is used. Low-density calcifications have a higher rate of failure. In cases in which no calcium is observed in specimen radiography, repeated biopsy is recommended.en_US
dc.identifier.doi10.4261/1305-3825.DIR.5024-11.1
dc.identifier.endpage359en_US
dc.identifier.issn1305-3825
dc.identifier.issue4en_US
dc.identifier.pmid22477646
dc.identifier.scopus2-s2.0-84863840467
dc.identifier.scopusqualityQ2
dc.identifier.startpage354en_US
dc.identifier.urihttps://doi.org/10.4261/1305-3825.DIR.5024-11.1
dc.identifier.urihttps://hdl.handle.net/11468/19646
dc.identifier.volume18en_US
dc.identifier.wosWOS:000305725300003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Soc Radiologyen_US
dc.relation.ispartofDiagnostic and Interventional Radiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVacuum-Assisted Breast Biopsyen_US
dc.subjectMicro Calcificationen_US
dc.subjectSpecimen X-Rayen_US
dc.titleCauses of failure in removing calcium in microcalcification-only lesions using 11-gauge stereotactic vacuum-assisted breast biopsyen_US
dc.titleCauses of failure in removing calcium in microcalcification-only lesions using 11-gauge stereotactic vacuum-assisted breast biopsy
dc.typeArticleen_US

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