Ces radiol. 2014, 68(3):183-190

The breast biopsy methods currently used in mamodiagnosticsReview article

Dana Houserková¹, Petr Váša²

¹ Mammacentrum Olomouc, s.r.o.

² Ústecká poliklinika, s.r.o., Masarykova nemocnice Ústí nad Labem

The authors describe the different biopsy methods, which are now a part of the complete mamodiagnostics, their indications, technique, contraindications and complications, its reliability for histological diagnosis and the importance of subsequent treatment in malignant breast tumors. Individual biopsy techniques are presented in the historical overview. The use of the oldest biopsy method the fine needle aspiration biopsy for solid lesions is nowadays very limited in almost all countries provided breast screening and the main importance of this biopsy method is the aspiration of fluid formations in the breast. The core cut biopsy is the standard method for obtaining histological diagnosis in solid lesions and its introduction in the 90s of the last century marked a major change for the post- surgical and oncological treatment of breast cancer. The latest vacuum-assisted biopsy methods used to receive a larger amount of tissue from the breast. It is a vacuum-assisted biopsy, which provides very accurate histological diagnosis for lesions where the core biopsy may underestimate the histological diagnosis. It is especially in the case of histologically borderline lesions such as carcinoma in situ and atypical hyperplasia. The Intact BLES biopsy (radiofrequency ablation) is highly accurate biopsy method enables to remove the lesion in a single tissue sample. It is the only biopsy method which is able to obtain a good margin of the lesion for the correct evaluation by a pathologist and can succeed in further technical development as a therapeutic method with minimal malignant breast lesions.

Keywords: aspiration cytology, core cut biopsy, breast malignancy, radiofrequency ablation, vacuum-assisted biopsy

Accepted: September 9, 2014; Published: September 1, 2014  Show citation