Indeterminate (B3) breast lesions: experience with vacuum-assisted biopsy under ultrasound guidance
E. A. Busko,
V. V. Mortada,
P. V. Krivorotko,
V. F. Semiglazov,
R. S. Pesotsky,
А. S. Emelyanov,
N. S. Amirov,
V. S. Channov,
T. T. Tabagua,
L. P. Gigolaeva,
S. S. Yerechshenko,
A. V. Komyakhov,
K. S. Nikolaev,
K. Y. Zernov,
E. K. Zhiltsova,
Ya. I. Bondarchuk,
D. A.. Enaldieva,
S. N. Novikov,
V. S. Apollonova,
A. I. Tseluiko,
B. S. Kasparov https://doi.org/10.22328/2079-5343-2022-13-3-43-50
Abstract
INTRODUCTION: Introduction of breast cancer screening programs has led to an increase in detection of non-palpable masses requiring core needle biopsy. Masses that fall into B3 category based on the histological results of core biopsy specimens, are of interest precisely because of their uncertain malignant potential and the lack of a final consensus on their management.
OBJECTIVE: To analyze the 3-year experience of ultrasound guided vacuum-assisted biopsy (VAB) in patients with B3 breast lesions based on the results of histological examination of core biopsy specimens.
MATERIALS AND METHODS: Between June 2019 and June 2022, 163 VABs were performed. The study group included patients with category 2–4 breast lesions according to the BI-RADS scoring system. The decision to perform VAB was made by the oncologist in each specific case on the basis of anamnesis, clinical data and the results of core biopsy histological examination: in cases of B3 or B2 lesions with a discordant radiologic pattern.
RESULTS: In 155 (95.0%) cases, the removed lesions were benign, invasive cancer was detected in 2 (1.2%) cases, ductal cancer in situ in 6 cases (3.8%). The сomplications included: in 5 (3.1%) cases, patients had pain after the procedure, and in 37 (22.7%) cases there was a hematoma. In 5 (3.1%) patients, residual tissue was found at the site of removed lesions. CONCLUSIONS: VAB is a safe alternative to exploratory surgery in patients with B3 lesions diagnosed by core biopsy.
About the Authors
E. A. Busko
NMRC of Oncology named after N. N. Petrov of MoH of Russia; St. Petersburg State University
Russian Federation
Russian Federation
Ekaterina А. Busko — Cand. of Sci. (Med.), diagnostic department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
V. V. Mortada
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Viktoriia V. Mortada — research fellow, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
P. V. Krivorotko
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Petr V. Krivorotko — Dr. of Sci (Med.), leading researcher, leader of breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
V. F. Semiglazov
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Vladimir F. Semiglazov — Dr. of Sci (Med.), corresponding member of the Russian Academy of Sciences, professor, chief researcher, leader of science department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
R. S. Pesotsky
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Roman S. Pesotsky — oncologist, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
А. S. Emelyanov
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Alexander S. Emelyanov — oncologist, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
N. S. Amirov
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Nikolay S. Amirov — oncology resident, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
V. S. Channov
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Valentin S. Channov — oncology resident, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
T. T. Tabagua
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Tengiz T. Tabagua — Cand. of Sci. ((Med.), leader of breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
L. P. Gigolaeva
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Larisa P. Gigolaeva — Cand. of Sci. (Med.), oncologist, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
S. S. Yerechshenko
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Sergey S. Yerechshenko — oncologist, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
A. V. Komyakhov
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Alexander V. Komyakhov — Cand. of Sci. (Med.), researcher, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
K. S. Nikolaev
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Kirill S. Nikolaev — Cand. of Sci. (Med.), researcher, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
K. Y. Zernov
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Konstantin Yu. Zernov — Cand. Of Sci. (Med.), researcher, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
E. K. Zhiltsova
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Elena K. Zhiltsova — Cand. of Sci. (Med.), researcher, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
Ya. I. Bondarchuk
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Yana I. Bondarchuk — oncology resident, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
D. A.. Enaldieva
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Diana A. Enaldieva — oncology resident, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
S. N. Novikov
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Sergey N. Novikov — Dr. of Sci. (Med.), prof., head of radiotherapy department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
V. S. Apollonova
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Vera S. Apollonova — oncologist, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
A. I. Tseluiko
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Andrey I. Tseluiko — oncologist, breast tumors department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
B. S. Kasparov
NMRC of Oncology named after N. N. Petrov of MoH of Russia
Russian Federation
Russian Federation
Boris S. Kasparov — Cand. of Sci. (Med.), oncologist, deputy chief medical officer for outpatient care, head of clinical diagnostic department.
68 Leningradskaya street, Pesochny, Saint Petersburg, 197758
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For citations:
Busko E.A., Mortada V.V., Krivorotko P.V., Semiglazov V.F., Pesotsky R.S., Emelyanov А.S., Amirov N.S., Channov V.S., Tabagua T.T., Gigolaeva L.P., Yerechshenko S.S., Komyakhov A.V., Nikolaev K.S., Zernov K.Y., Zhiltsova E.K., Bondarchuk Ya.I., Enaldieva D.A., Novikov S.N., Apollonova V.S., Tseluiko A.I., Kasparov B.S. Indeterminate (B3) breast lesions: experience with vacuum-assisted biopsy under ultrasound guidance. Diagnostic radiology and radiotherapy. 2022;13(3):43-50. (In Russ.) https://doi.org/10.22328/2079-5343-2022-13-3-43-50
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