Abstract
Breast cancer is the
most common cancer in women and its incidence is increasing. Most of breast
cancers are solitary and tru-cut biopsy is one of the basic diagnostic methods.
Knowing the complications encountered during tru-cut biopsy and their
prevalence will be useful in terms of material, hygiene control and physician
self-monitoring. We conducted a retrospective study of 876 patients who had
undergone breast biopsy due to suspicion of malignancy. Rates of complications was compared with
those of open surgical biopsy and vacuum biopsy. Complications occurred in
10.5% of the total biopsies. In the set of complications, rate of bleeding was
41.22%, rate of complications of local anesthesia was 25.95%, rate of skin
infection 12.98%, rate of hematoma 11.45%, rate of mastitis was 5.34%, rate of
abscess was 2.30% and finally rate of
anxiety was 0.76%. No allergic
reactions or aneurysms were detected in the patients. Complication rates of
tru-cut biopsy were 1/3 less than those of open surgical biopsy (OSB). Vacuum
biopsy complications are slightly less than those of tru-cut biopsy. Bleeding
rates are high in vacuum biopsy, while it is a rare complication in tru-cut
biopsy. In total tru-cut biopsy is a fast and comfortable method with low
complication rates according to vacuum assisted biopsy and OSB.
Keywords
References
- 1. Morrow M. The evaluation of common breast problems. Am Fam Physician. 2000;61:2371-8.
- 2. Donegan WL. Evaluation of a palpable breast mass. N Engl J Med. 1992;327:937-42.
- 3. Parker SH, Lovin JD, Jobe WE, et al. Non-palpable breast lesions: Stereotactic automated large-core biopsies. Radiology. 1991;180:403-7.
- 4. Florentine BD, Cobb CJ, Frankel K, Graves T, Martin SE. Core needle biopsy. A useful adjunct to fine-needle aspirati- on in select patients with palpabl breast lesions. Cancer. 1997;81:33-9.
- 5. Brenner RJ, Bassett LW, Fajando LL, et al. Stereotactic core-needle breast biopsy: A multi-institutional prospective trial. Radiology. 2001;218:866-72.
- 6. Morrow M, Venta L, Slinson T, Bennett C. Prospective com- parison of stereotactic core biopsy and surgicai excision as diagnostic procedures for breast cancer patients. Ann Surg. 2001;233:537-41.
- 7. Tran CL, Larger S, Villa GB. Does reoperation predispose to postoperative wound infection in women undergoing opera- tion for breast cancer. Am Surg. 2003;69:852-6.
- 8. Löfgren M, Andersson i, Lindholm K. Stereotactic fine-need- le aspiration for cytoiogic diagnosis of non-palpable breast lesions. AJRAm J Roentgenol. 1990;154:1191-5.
- 9. Bassett LW, Mahoney MC, Apple SK. Interventional breast imaging: current procedures and assessing for concordance with pathology. Radiol Clin North Am. 2007;45:881-94.
- 10. Parker SH, Lovin JD, Jobe WE, et al. Stereotactic breast biopsy with a biopsy gun. Radiology. 1990;176:741–47.
- 11. Parker SH, Jobe WE, Dennis MA, et al. US-guided automated large-core breast biopsy. Radiology. 1993;187:507–11.
- 12. Bildirici T, Özdemir A, Dursun A, et al. Meme lezyonlarında US kılavuzluğunda vakum destekli biyopsi (mammotom) uygulamaları: 24 lezyonu iceren ilk sonuclar. Tan Giriş Radyoloji. 2001;7:376-9.
- 13. Fornage BD. Sonographically guided needle biopsy of nonpalpable breast lesions. J Clin Ultrasound. 1999;27:385-9.
- 14. Nath M, Robinson T, Tobon H, Chough DM, Sumkin JH. Automated large-core needle biopsy of surgically removed breast lesions: comparison of samples obtained with 14-, 16, and 18-gauge needles. Radiology. 1995;197:739-742.
- 15. Tornero JC, Gómez M, Fabregat CG, et al. Complications after regional anesthesia. Rev Esp Anestesiol Reanim. 2008;55(9):552-62.
- 16. Yeniçeri Ö, Özcan Ö, Çullu N, Deveer M. The Benefit of Tru-Cut Biopsy in Breast Masses. J Harran Uni Med Faculty. 2015;12:73-7.
- 17. Catani JH, Matsumoto R, Horigome F, Tucunduva T, Costenaro M, Barros N. A pictorial review of breast biopsy complications. ECR. 2017;C-2054:1-12.
- 18. Fonseca RJ. Oral and Maxillofacial Surgery. Philadelphia: WB Saunders Company, 2000;433-4.
- 19. Lipshy KA, Neifeld JP, Böyle RM, et al. Complications of mastectomy and their relationship to biopsy technique. Ann Surg Oncoi. 1996;3:290-4.
- 20. O’Connor A, Wylie EJ, Nuttall LJ. Complications of breast core biopsy. Abstracts from Symposium Mammographicum 2002 University of York;17–19 July 2002:17.
- 21. Friese CR, Neville BA, Edge SB, Hassett MJ, Earie CC. Breast biopsy patterns and outcomes in surveillance, epidemiology, and end results-medicare data. Cancer. 2009;115:716-24.
- 22. Doğan L, Karaman N, Özaslan C, Atalay C, Altınok M. Surgical Breast Biopsies and Complications: Is There an Effect on Future Treatments?. Acta Onco Turcica. 2009;42:45-9.
- 23. Rey JE, Gardner SM, Cushing RD. Determinants of surgicai site infection after breast biopsy. Am J Infect Control. 2005;3:126-9.
- 24. Simon JR, Kalbhen CL, Cooper RA, Flisak ME. Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy:initial results. Radiology. 2000;215:694-7.
Ultrason Eşliğinde Meme Tru-cut Biyopsi Komplikasyonları ve Diğer Biyopsi Yöntemleri ile Karşılaştırılması
Abstract
Meme kanseri kadınlarda en sık kanserdir ve
insidansı artmaktadır. Meme kanserlerinin çoğu soliddir ve tru-cut biyopsi
temel tanı yöntemlerinden biridir. Tru-cut biyopsi sırasında karşılaşılan
komplikasyonların ve prevalanslarının bilinmesi malzeme, hijyen kontrolü ve
doktorun öz denetimi açısından faydalı olacaktır. Çalışma malignite şüphesi
nedeniyle tru-cut biyopsi yapılmış 876 hastada karşılaşılmış komplikasyon
verileri üzerinden derlenmiş retrospektif bir araştırmadır. Komplikasyon
oranlarının prevalansı,
komplikasyonların birlikte görülme oranları değerlendirilmiş açık cerrahi
biyopsi (ACB) ve vakum biyopsi ile karşılaştırılmıştır. İşlemlerin %10.5’inde
komplikasyon oluştu. %7.7 sinde izole komplikasyonlar, %3.3 oranında multipl
komplikasyonlar mevcuttu. Komplikasyon yüzdeleri sırasıyla kanama (%41.22),
lokal anestezi komplikasyonları (%25.95), cilt enfeksiyonu (%12.98), hematom
(%11.45), mastit (%5.34), abse (%2.30), anksiyete (%0.76)’ydi. Hastalarda major
alerjik reaksiyon, anevrizma, fistül, nekrozitan enfeksiyon saptanmadı. Tru-cut
biyopside komplikasyon oranları 1/3 oranında ACB’ye oranla düşük bulunmuştur.
Vakum biyopsiye göre ise hafifçe azdır. Major kanama oranları vakum biyopside
yüksek iken tru-cut biyopside nadir bir komplikasyondur. Bizim serimizde
saptanmamıştır. Trucut biyopsi vakum destekli biyopsi ve ACB’ye göre
komplikasyon oranı düşük hızlı ve konforlu bir yöntemdir.
Keywords
References
- 1. Morrow M. The evaluation of common breast problems. Am Fam Physician. 2000;61:2371-8.
- 2. Donegan WL. Evaluation of a palpable breast mass. N Engl J Med. 1992;327:937-42.
- 3. Parker SH, Lovin JD, Jobe WE, et al. Non-palpable breast lesions: Stereotactic automated large-core biopsies. Radiology. 1991;180:403-7.
- 4. Florentine BD, Cobb CJ, Frankel K, Graves T, Martin SE. Core needle biopsy. A useful adjunct to fine-needle aspirati- on in select patients with palpabl breast lesions. Cancer. 1997;81:33-9.
- 5. Brenner RJ, Bassett LW, Fajando LL, et al. Stereotactic core-needle breast biopsy: A multi-institutional prospective trial. Radiology. 2001;218:866-72.
- 6. Morrow M, Venta L, Slinson T, Bennett C. Prospective com- parison of stereotactic core biopsy and surgicai excision as diagnostic procedures for breast cancer patients. Ann Surg. 2001;233:537-41.
- 7. Tran CL, Larger S, Villa GB. Does reoperation predispose to postoperative wound infection in women undergoing opera- tion for breast cancer. Am Surg. 2003;69:852-6.
- 8. Löfgren M, Andersson i, Lindholm K. Stereotactic fine-need- le aspiration for cytoiogic diagnosis of non-palpable breast lesions. AJRAm J Roentgenol. 1990;154:1191-5.
- 9. Bassett LW, Mahoney MC, Apple SK. Interventional breast imaging: current procedures and assessing for concordance with pathology. Radiol Clin North Am. 2007;45:881-94.
- 10. Parker SH, Lovin JD, Jobe WE, et al. Stereotactic breast biopsy with a biopsy gun. Radiology. 1990;176:741–47.
- 11. Parker SH, Jobe WE, Dennis MA, et al. US-guided automated large-core breast biopsy. Radiology. 1993;187:507–11.
- 12. Bildirici T, Özdemir A, Dursun A, et al. Meme lezyonlarında US kılavuzluğunda vakum destekli biyopsi (mammotom) uygulamaları: 24 lezyonu iceren ilk sonuclar. Tan Giriş Radyoloji. 2001;7:376-9.
- 13. Fornage BD. Sonographically guided needle biopsy of nonpalpable breast lesions. J Clin Ultrasound. 1999;27:385-9.
- 14. Nath M, Robinson T, Tobon H, Chough DM, Sumkin JH. Automated large-core needle biopsy of surgically removed breast lesions: comparison of samples obtained with 14-, 16, and 18-gauge needles. Radiology. 1995;197:739-742.
- 15. Tornero JC, Gómez M, Fabregat CG, et al. Complications after regional anesthesia. Rev Esp Anestesiol Reanim. 2008;55(9):552-62.
- 16. Yeniçeri Ö, Özcan Ö, Çullu N, Deveer M. The Benefit of Tru-Cut Biopsy in Breast Masses. J Harran Uni Med Faculty. 2015;12:73-7.
- 17. Catani JH, Matsumoto R, Horigome F, Tucunduva T, Costenaro M, Barros N. A pictorial review of breast biopsy complications. ECR. 2017;C-2054:1-12.
- 18. Fonseca RJ. Oral and Maxillofacial Surgery. Philadelphia: WB Saunders Company, 2000;433-4.
- 19. Lipshy KA, Neifeld JP, Böyle RM, et al. Complications of mastectomy and their relationship to biopsy technique. Ann Surg Oncoi. 1996;3:290-4.
- 20. O’Connor A, Wylie EJ, Nuttall LJ. Complications of breast core biopsy. Abstracts from Symposium Mammographicum 2002 University of York;17–19 July 2002:17.
- 21. Friese CR, Neville BA, Edge SB, Hassett MJ, Earie CC. Breast biopsy patterns and outcomes in surveillance, epidemiology, and end results-medicare data. Cancer. 2009;115:716-24.
- 22. Doğan L, Karaman N, Özaslan C, Atalay C, Altınok M. Surgical Breast Biopsies and Complications: Is There an Effect on Future Treatments?. Acta Onco Turcica. 2009;42:45-9.
- 23. Rey JE, Gardner SM, Cushing RD. Determinants of surgicai site infection after breast biopsy. Am J Infect Control. 2005;3:126-9.
- 24. Simon JR, Kalbhen CL, Cooper RA, Flisak ME. Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy:initial results. Radiology. 2000;215:694-7.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Original Article |
| Authors | |
| Publication Date | July 25, 2018 |
| Submission Date | May 28, 2018 |
| Published in Issue | Year 2018 Volume: 5 Issue: 1 |
