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Article: Is ultrasonography-guided modified coaxial core biopsy of the breast a better technique?
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TitleIs ultrasonography-guided modified coaxial core biopsy of the breast a better technique?
 
AuthorsWong, CS2
Chu, YC1
Wong, KW2
Yeung, TH2
Ma, KF2
 
KeywordsBiopsy, fine-needle
Breast neoplasms
Pain measurement
Ultrasonography, mammary
 
Issue Date2009
 
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
 
CitationHong Kong Medical Journal, 2009, v. 15 n. 4, p. 246-248 [How to Cite?]
 
AbstractObjective: To compare the diagnostic rate, patient comfort, and complications of ultrasonography-guided breast biopsy using a modified coaxial technique with ultrasonography-guided fine needle aspiration and traditional core biopsy. A secondary objective was to describe the use of the coaxial technique for the biopsy of breast lesions and our initial experience. Design: Retrospective study. Setting: A regional hospital in Hong Kong. Patients: Patients, who were referred for ultrasonography-guided fine needle aspiration or biopsy from 23 November 2007 to 19 March 2008, were divided into three groups. For breast lesions of 8 mm or smaller, fine needle aspirations were performed. For breast lesions larger than 8 mm, the patients were randomly divided into groups receiving traditional core biopsies and coaxial biopsies. The pathological reports were reviewed. Main outcome measures: Diagnostic rate, patient comfort assessed in terms of pain, and any procedural complications. Results: A total of 45 ultrasonography-guided fine needle aspirations or biopsies of breast lesions were performed. All core biopsies using the traditional core technique (n=15) and coaxial technique (n=16) were diagnostic. While for fine needle aspirations, three (21%) of 14 were not diagnostic and repeat biopsies were undertaken for the corresponding patients. Except for one breast lesion biopsied with the coaxial technique that revealed invasive ductal carcinoma, all others yielded benign lesions. The average pain score for coaxial biopsies was 2.2, while for traditional core biopsies and fine needle aspirations, average scores were 3.7 and 3.8, respectively (P=0.022). No procedure-related complication was documented with either of the three techniques. Conclusion: Modified coaxial core biopsy of the breast has an optimal diagnostic rate and hence avoids the need for repeat biopsies. It is associated with better patient comfort and no increase in the risk of complications.
 
ISSN1024-2708
2012 SCImago Journal Rankings: 0.255
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorWong, CS
 
dc.contributor.authorChu, YC
 
dc.contributor.authorWong, KW
 
dc.contributor.authorYeung, TH
 
dc.contributor.authorMa, KF
 
dc.date.accessioned2010-10-31T10:45:52Z
 
dc.date.available2010-10-31T10:45:52Z
 
dc.date.issued2009
 
dc.description.abstractObjective: To compare the diagnostic rate, patient comfort, and complications of ultrasonography-guided breast biopsy using a modified coaxial technique with ultrasonography-guided fine needle aspiration and traditional core biopsy. A secondary objective was to describe the use of the coaxial technique for the biopsy of breast lesions and our initial experience. Design: Retrospective study. Setting: A regional hospital in Hong Kong. Patients: Patients, who were referred for ultrasonography-guided fine needle aspiration or biopsy from 23 November 2007 to 19 March 2008, were divided into three groups. For breast lesions of 8 mm or smaller, fine needle aspirations were performed. For breast lesions larger than 8 mm, the patients were randomly divided into groups receiving traditional core biopsies and coaxial biopsies. The pathological reports were reviewed. Main outcome measures: Diagnostic rate, patient comfort assessed in terms of pain, and any procedural complications. Results: A total of 45 ultrasonography-guided fine needle aspirations or biopsies of breast lesions were performed. All core biopsies using the traditional core technique (n=15) and coaxial technique (n=16) were diagnostic. While for fine needle aspirations, three (21%) of 14 were not diagnostic and repeat biopsies were undertaken for the corresponding patients. Except for one breast lesion biopsied with the coaxial technique that revealed invasive ductal carcinoma, all others yielded benign lesions. The average pain score for coaxial biopsies was 2.2, while for traditional core biopsies and fine needle aspirations, average scores were 3.7 and 3.8, respectively (P=0.022). No procedure-related complication was documented with either of the three techniques. Conclusion: Modified coaxial core biopsy of the breast has an optimal diagnostic rate and hence avoids the need for repeat biopsies. It is associated with better patient comfort and no increase in the risk of complications.
 
dc.description.naturepublished_or_final_version
 
dc.identifier.citationHong Kong Medical Journal, 2009, v. 15 n. 4, p. 246-248 [How to Cite?]
 
dc.identifier.epage248
 
dc.identifier.hkuros174661
 
dc.identifier.issn1024-2708
2012 SCImago Journal Rankings: 0.255
 
dc.identifier.issue4
 
dc.identifier.openurl
 
dc.identifier.pmid19652229
 
dc.identifier.scopuseid_2-s2.0-70349416533
 
dc.identifier.spage246
 
dc.identifier.urihttp://hdl.handle.net/10722/124641
 
dc.identifier.volume15
 
dc.languageeng
 
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
 
dc.publisher.placeHong Kong
 
dc.relation.ispartofHong Kong Medical Journal
 
dc.relation.referencesReferences in Scopus
 
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.subjectBiopsy, fine-needle
 
dc.subjectBreast neoplasms
 
dc.subjectPain measurement
 
dc.subjectUltrasonography, mammary
 
dc.titleIs ultrasonography-guided modified coaxial core biopsy of the breast a better technique?
 
dc.typeArticle
 
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Author Affiliations
  1. Kwong Wah Hospital
  2. Princess Margaret Hospital Hong Kong