Taşkın Füsun, Soyder Aykut, Tanyeri Ahmet, Öztürk Veli Süha, Ünsal Alparslan
Deparment of Radiology, Adnan Menderes University School of Medicine, Aydın, Turkey.
Diagn Interv Radiol. 2017 Sep-Oct;23(5):333-338. doi: 10.5152/dir.2017.17004.
We aimed to assess the effectiveness of magnetic resonance imaging (MRI)-guided vacuum-assisted breast biopsy (VABB), evaluate and compare the characteristics and histopathologic findings of lesions, and overview the follow-up results of benign lesions.
MRI findings and histopathologic results of breast lesions biopsied by MRI-guided VABB between 2013 and 2016 were retrospectively analyzed. MRI findings closely related with malignancy were investigated in particular. Follow-up results of benign lesions were evaluated.
MRI-guided VABB was applied to 116 lesions of 112 women. Of the lesions, 75 (65%) were benign, while 41 (35%) were malignant. Segmental (94%), clustered (89%), and clustered ring (67%) non-mass-like enhancement patterns were found to be more related with malignancy. False-negative rate of MRI-guided VABB was 12%, underestimation rate was 21%. One of the 54 followed-up benign lesions had a malignant result.
MRI-guided VABB is a reliable method for the diagnosis of breast lesions that are positive only on MRI. Follow-up results show that cancer detection rate is low for radio-pathologically concordant lesions. Further multicenter studies with larger patient population are needed to elucidate these results.
我们旨在评估磁共振成像（MRI）引导下真空辅助乳腺活检（VABB）的有效性，评估并比较病变的特征和组织病理学发现，以及概述良性病变的随访结果。
回顾性分析2013年至2016年间通过MRI引导VABB进行活检的乳腺病变的MRI表现和组织病理学结果。特别研究了与恶性肿瘤密切相关的MRI表现。评估良性病变的随访结果。
对112名女性的116个病变进行了MRI引导下的VABB。其中，75个（65%）病变为良性，41个（35%）为恶性。发现节段性（94%）、簇状（89%）和簇状环状（67%）非肿块样强化模式与恶性肿瘤的相关性更高。MRI引导下VABB的假阴性率为12%，低估率为21%。54个随访的良性病变中有1个出现恶性结果。
MRI引导下的VABB是诊断仅在MRI上呈阳性的乳腺病变的可靠方法。随访结果表明，对于放射病理学一致的病变，癌症检出率较低。需要进一步开展更大规模患者群体的多中心研究来阐明这些结果。
