Minimally Invasive Breast Biopsies

ISBN-13: 9783540314035 / Angielski / Twarda / 2009 / 225 str.

Opis

Modern imaging methods have made it possible to detect breast cancer at an earlier stage than in the past. Nevertheless, a large majority of suspicious findings at screening subsequently prove to be benign. It is therefore important to be able to identify benign lesions in a manner that is reliable, tissue sparing, patient friendly, and cost-effective. More than 70% of breast biopsies can now be performed using minimally invasive procedures that meet these criteria. This book examines in detail vacuum-assisted minimally invasive breast biopsy systems (ATEC, EnCor, Intact, Mammotome and Vacora), stereotactic systems, MRI-guided procedures, and ductoscopy. Further chapters are devoted to the pathology of the breast tissue obtained using these procedures, their limitations, the implications of recent advances in breast imaging, and the results of cost-benefit analyses. The closing chapter provides a systematic review and meta-analysis of recent data.

Recenzje

From the reviews: "This volume in the Recent Results in Cancer Research series reviews current techniques in minimally invasive procedures used to diagnose breast malignancy. ... The book seems to be directed at practicing radiologists and possibly surgeons, fellows in breast imaging, and possibly residents in training. ... would be helpful to those who do not have extensive experience in this field. ... thorough content and extensive illustrations render it a useful resource, particularly to those with limited experience in performing breast needle biopsies." (Dana Smetherman, Doody's Review Service, April, 2010)

Spis treści

Documentation and Correlation of Senologic Findings.- Comparison of Large-Core Vacuum-Assisted Breast Biopsy and Excision Systems.- Sonographically Guided Vacuum-Assisted Breast Biopsy Using Handheld Mammotome.- The Vacora Biopsy System.- Available Stereotactic Systems for Breast Biopsy.- MRI-Guided Minimally Invasive Breast Procedures.- Ductoscopy of Intraductal Neoplasia of the Breast.- Pathology of Breast Tissue Obtained in Minimally Invasive Biopsy Procedures.- Limitations of Minimally Invasive Breast Biopsy.- Advances in Breast Imaging: A Dilemma or Progress?.- Cost–Benefit Analyses.- Systematic Review and Meta-analysis of Recent Data.

Blurb

Modern imaging methods have made it possible to detect breast cancer at an earlier stage than in the past. Nevertheless, when screening is performed regularly over a 10-year period, 20% of examined women will present a suspicious finding that subsequently proves to be benign. Accordingly, beyond cancer detection an important goal is the identification of benign lesions in a manner that is reliable, tissue sparing, patient friendly, and cost-effective. More than 70% of breast biopsies can now be performed using minimally invasive procedures that meet these criteria. Against this background, it can be concluded that a mammography screening programme without the possibility of minimally invasive biopsies is neither ethically nor economically justifiable.

This book examines in detail the diverse minimally invasive diagnostic techniques that may be employed when imaging yields suspicious findings. These include vacuum-assisted minimally invasive breast biopsy systems (ATEC, EnCor, Intact, Mammotome and Vacora), stereotactic systems, MRI-guided procedures, and ductoscopy. Further chapters are devoted to the pathology of the breast tissue obtained using these procedures, their limitations, the implications of recent advances in breast imaging, and the results of cost-benefit analyses. The closing chapter provides a systematic review and meta-analysis of recent data.