Mammotome: biopsia microistologica mammaria con aspirazione automatica sotto guida ecografica

Abstract. Purpose. Vacuum-assisted breast biopsy is a diagnostic procedure that is clinically performed with the aid of a mammogram or an ultrasound, for the diagnosis of breast carcinoma. The purpose of this study is to evaluate its effectiveness versus other bioptic techniques. Material and mehods. From September 2003 to February 2006, in our Centre we carried out 300 ultrasound plus mammotome, to women between the ages of 19 and 75 years old (average age 47). The decision to permorm this type of procrdure was made excluding the patients at high risk of malignancy according to the classification BIRADS. Results. The results of the histological examination were the following: 153 F.A., 28 typical hiperplasias, 8 ALH, 16 DCI, 3 LCI, 7 CIS and 85 other benign pathologies characterized as typical epitheliosis, focal microscopic papillomatosis, sclerosing adenosis, etc. The patients with atypical lobular hyperplasia, CIS and infiltrating duct or lobular carcinima were submitted to a subsequent surgical extraction. Conclusion. The vacuum-assisted breast biopsy sonographically-guided can be considered a fast and low risk diagnostic method that is well tolerated by patients and therefore is a valid alternative to the other biopsy methods for the diagnosis of breast cancer.