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Research Article| Volume 172, ISSUE 5, P491-495, November 1996

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Open versus stereotactic breast biopsy

  • Richard C. Frazee
    Correspondence
    Requests for reprints should be addressed to Richard C. Frazee, MD, Scott & White Hospital, 2401 South 31st Street, Temple, Texas 76508.
    Affiliations
    From the Department of Surgery, Scott & White Clinic, USA

    From the Department of Surgery, Memorial Hospital, Scott, Sherwood , USA

    Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas, USA
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  • John W. Roberts
    Affiliations
    From the Department of Surgery, Scott & White Clinic, USA

    From the Department of Surgery, Memorial Hospital, Scott, Sherwood , USA

    Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas, USA
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  • Richard E. Symmonds
    Affiliations
    From the Department of Surgery, Scott & White Clinic, USA

    From the Department of Surgery, Memorial Hospital, Scott, Sherwood , USA

    Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas, USA
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  • Samuel K. Snyder
    Affiliations
    From the Department of Surgery, Scott & White Clinic, USA

    From the Department of Surgery, Memorial Hospital, Scott, Sherwood , USA

    Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas, USA
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  • John C. Hendricks
    Affiliations
    From the Department of Surgery, Scott & White Clinic, USA

    From the Department of Surgery, Memorial Hospital, Scott, Sherwood , USA

    Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas, USA
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  • Randall W. Smith
    Affiliations
    From the Department of Surgery, Scott & White Clinic, USA

    From the Department of Surgery, Memorial Hospital, Scott, Sherwood , USA

    Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas, USA
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  • James B. Harrison
    Affiliations
    From the Department of Surgery, Scott & White Clinic, USA

    From the Department of Surgery, Memorial Hospital, Scott, Sherwood , USA

    Brindley Foundation, Texas A&M University Health Science Center, College of Medicine, Temple, Texas, USA
    Search for articles by this author
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      Background

      Stereotactic breast biopsy has been developed as a less invasive means of performing biopsy for mammographic abnormalities. Methods: From July 1994 through June 1995,103 women with mammographic abnormalities requiring biopsy were prospectively evaluated.

      Results

      Fifty-one women had open biopsy, and 52 women had Stereotactic biopsy. The average age in both groups was 60 years. Pathology revealed alignancy in 12% of Stereotactic biopsies and 13% of open biopsies. Complications occurred in 6% of the open biopsies and 4% of the Stereotactic biopsies and were limited to hematomas or seromas. The average cost was $2400 for open biopsy and $650 for Stereotactic biopsy (P < 0.01). One hundred and one patients returned for a follow-up mammogram within 6 months, and 1 patient in each group required a second biopsy, which revealed benign pathology. Patient Satisfaction Survey revealed no significant differences in patient satisfaction between the two types of procedures.

      Conclusion

      There were no differences between open and Stereotactic biopsies in regards to diagnostic accuracy, complications, or patient satisfaction. A significant difference was noted in charges during the time frame of our study.
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      References

        • Shapiro S
        • Benet W
        • Strax P
        Current results in the breast cancer screening randomized trial: the Health Insurance Plan of Greater New York Study.
        in: Day NE Miller AB Screening for Breast Cancer. Hans Huber, Toronto1988
        • Silverstein MJ
        • Gamagami P
        • Rosser RJ
        • et al.
        Hooked-wire-directed breast biopsy and overpenetrated mammography.
        Cancer. 1987; 59: 715-722
        • Hermann G
        • Janus C
        • Schwartz IS
        • et al.
        Nonpalpable breast lesions: accuracy of prebiopsy mammographic diagnosis.
        Radiology. 1990; 165: 323-326
        • Papatestas AE
        • Hermann D
        • Hermann G
        • et al.
        Surgery for nonpalpable breast lesions.
        Arch Surg. 1990; 125: 399-402
        • Dowlatshahi K
        • Jokich PM
        • Schmidt R
        • et al.
        Cytologic diagnosis of occult breast lesions using stereotaxic needle aspirations. A preliminary report.
        Arch Surg. 1987; 122: 1343-1346
        • Lofgren M
        • Andersson I
        • Lindholm K
        Stereotactic fine-needle aspiration for cytologic diagnosis of nonpalpable breast lesions.
        Am J Roentgenol. 1990; 154: 1191-1195
        • Gisvold JJ
        • Goellner JR
        • Grant CS
        • et al.
        Breast biopsy: a comparative study of stereotaxically guided core and excisional techniques.
        Am J Roentgenol. 1994; 162: 815-820
        • Parker SH
        • Burbank F
        • Jackman RJ
        • et al.
        Percutaneous largecore breast biopsy: a multi-institutional study.
        Radiology. 1994; 193: 359-364
        • Elvecrog EL
        • Lechner MC
        • Nelson MT
        Nonpalpable breast lesions: correlation of stereotaxic large-core needle biopsy and surgical biopsy results.
        Radiology. 1993; 188: 453-455
        • Liberman L
        • Dershaw DD
        • Rosen PP
        • et al.
        Stereotaxic core biopsy of breast carcinoma: accuracy at predicting invasion.
        Radiology. 1995; 194: 379-381
        • Liberman L
        • Cohen MA
        • Dershaw DD
        • et al.
        Atypical ductal hyperplasia diagnosed at stereotaxic core biopsy of breast lesions: an indication for surgical biopsy.
        Am J Roentgenol. 1995; 164: 1111-1113
        • Jackman RJ
        • Nowels KW
        • Shepard MJ
        • et al.
        Stereotaxic largecore needle biopsy of 450 nonpalpable breast lesions with surgical correlation in lesions with cancer or atypical hyperplasia.
        Radiology. 1994; 193: 91-95
        • Liberman L
        • Fahs MC
        • Dershaw DD
        • et al.
        Impact of stereotaxic core breast biopsy on cost of diagnosis.
        Radiology. 1995; 195: 633-637