Wendie A. Berg, MD, PhD, FACR, FSBI; Marion E. Scoggins, MD
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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Definitions
Histopathologic findings from percutaneous breast biopsy do not provide acceptable explanation for imaging features
IMAGING
General Features
Mammographic Findings
Ultrasonographic Findings
MR Findings
Image-Guided Biopsy
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Davidson T et al: Correlations between core needle biopsy and excisional biopsy findings in suspected breast lesions: a single center study. Isr Med Assoc J. 20(7):401-4, 2018
Jung I et al: Ultrasonography-guided 14-gauge core biopsy of the breast: results of 7 years of experience. Ultrasonography. 37(1):55-62, 2018
Maldonado S et al: Utility of short-interval follow-up mammography after a benign-concordant stereotactic breast biopsy result. Breast. 42:50-3, 2018
Park VY et al: Evaluating imaging-pathology concordance and discordance after ultrasound-guided breast biopsy. Ultrasonography. 37(2):107-20, 2018
Santiago L et al: MR imaging-guided breast interventions: indications, key principles, and imaging-pathology correlation. Magn Reson Imaging Clin N Am. 26(2):235-46, 2018
Shin K et al: Tomosynthesis-guided core biopsy of the breast: why and how to use it. J Clin Imaging Sci. 8:28, 2018
Deb R et al: National survey of B1 and B2 reporting of breast needle core biopsies. J Clin Pathol. 69(3):271-4, 2016
Monticciolo DL et al: Six-month short-interval imaging follow-up for benign concordant core needle biopsy of the breast: outcomes in 1444 cases with long-term follow-up. AJR Am J Roentgenol. 1-6, 2016
Prakash S et al: Improving patient care by incorporation of multidisciplinary breast radiology-pathology correlation conference. Can Assoc Radiol J. 67(2):122-9, 2016
Soyder A et al: Imaging-histological discordance after sonographically guided percutaneous breast core biopsy. Breast Care (Basel). 10(1):33-7, 2015
Lee SH et al: Vacuum-assisted breast biopsy under ultrasonographic guidance: analysis of a 10-year experience. Ultrasonography. 33(4):259-66, 2014
Spick C et al: Diagnostic utility of second-look US for breast lesions identified at MR imaging: systematic review and meta-analysis. Radiology. 273(2):401-9, 2014
Gümüş H et al: Breast microcalcification: diagnostic value of calcified and non-calcified cores on specimen radiographs. Breast J. 19(2):156-61, 2013
Ho CP et al: Interactive case review of radiologic and pathologic findings from breast biopsy: are they concordant? How do I manage the results? Radiographics. 33(4):E149-52, 2013
Sung JS et al: Patient follow-up after concordant histologically benign imaging-guided biopsy of MRI-detected lesions. AJR Am J Roentgenol. 198(6):1464-9, 2012
Zhang C et al: The negative predictive value of ultrasound-guided 14-gauge core needle biopsy of breast masses: a validation study of 339 cases. Cancer Imaging. 12:488-96, 2012
Salkowski LR et al: Utility of 6-month follow-up imaging after a concordant benign breast biopsy result. Radiology. 258(2):380-7, 2011
Son EJ et al: Imaging-histologic discordance after sonographically guided percutaneous breast biopsy: a prospective observational study. Ultrasound Med Biol. 37(11):1771-8, 2011
Wang ZL et al: Breast lesions with imaging-histologic discordance during 16-gauge core needle biopsy system: would vacuum-assisted removal get significantly more definitive histologic diagnosis than vacuum-assisted biopsy? Breast J. 17(5):456-61, 2011
Li JL et al: Breast lesions with ultrasound imaging-histologic discordance at 16-gauge core needle biopsy: can re-biopsy with 10-gauge vacuum-assisted system get definitive diagnosis? Breast. 19(6):446-9, 2010
Mihalik JE et al: The rate of imaging-histologic discordance of benign breast disease: a multidisciplinary approach to the management of discordance at a large university-based hospital. Am J Surg. 199(3):319-23; discussion 323, 2010
Jackman RJ et al: False-negative diagnoses at stereotactic vacuum-assisted needle breast biopsy: long-term follow-up of 1,280 lesions and review of the literature. AJR Am J Roentgenol. 192(2):341-51, 2009
Schueller G et al: Accuracy of ultrasound-guided, large-core needle breast biopsy. Eur Radiol. 18(9):1761-73, 2008
Schueller G et al: US-guided 14-gauge core-needle breast biopsy: results of a validation study in 1352 cases. Radiology. 248(2):406-13, 2008
Kim MJ et al: Breast lesions with imaging-histologic discordance during US-guided 14G automated core biopsy: can the directional vacuum-assisted removal replace the surgical excision? Initial findings. Eur Radiol. 2007 Sep;17(9):2376-83. Epub 2007 Mar 15. Erratum in: Eur Radiol. 17(12):3261, 2007
Lee JM et al: Imaging histologic discordance at MRI-guided 9-gauge vacuum-assisted breast biopsy. AJR Am J Roentgenol. 189(4):852-9, 2007
Youk JH et al: Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 27(1):79-94, 2007
Cho N et al: Sonographically guided core biopsy of the breast: comparison of 14-gauge automated gun and 11-gauge directional vacuum-assisted biopsy methods. Korean J Radiol. 6(2):102-9, 2005
Crystal P et al: Accuracy of sonographically guided 14-gauge core-needle biopsy: results of 715 consecutive breast biopsies with at least two-year follow-up of benign lesions. J Clin Ultrasound. 33(2):47-52, 2005
Dillon MF et al: The accuracy of ultrasound, stereotactic, and clinical core biopsies in the diagnosis of breast cancer, with an analysis of false-negative cases. Ann Surg. 242(5):701-7, 2005
Sauer G et al: Ultrasound-guided large-core needle biopsies of breast lesions: analysis of 962 cases to determine the number of samples for reliable tumour classification. Br J Cancer. 92(2):231-5, 2005
Crowe JP Jr et al: Does ultrasound core breast biopsy predict histologic finding on excisional biopsy? Am J Surg. 186(4):397-9, 2003
Fishman JE et al: US-guided core-needle biopsy of the breast: how many specimens are necessary? Radiology. 226(3):779-82, 2003
March DE et al: Breast masses: removal of all US evidence during biopsy by using a handheld vacuum-assisted device--initial experience. Radiology. 227(2):549-55, 2003
Philpotts LE et al: Comparison of automated versus vacuum-assisted biopsy methods for sonographically guided core biopsy of the breast. AJR Am J Roentgenol. 180(2):347-51, 2003
Parker SH et al: Sonographically guided directional vacuum-assisted breast biopsy using a handheld device. AJR Am J Roentgenol. 177(2):405-8, 2001
Liberman L et al: Imaging-histologic discordance at percutaneous breast biopsy. Cancer. 89(12):2538-46, 2000
Philpotts LE et al: Comparison of rebiopsy rates after stereotactic core needle biopsy of the breast with 11-gauge vacuum suction probe versus 14-gauge needle and automatic gun. AJR Am J Roentgenol. 172(3):683-7, 1999
Meyer JE et al: Large-needle core biopsy: nonmalignant breast abnormalities evaluated with surgical excision or repeat core biopsy. Radiology. 206(3):717-20, 1998
Berg WA et al: Lessons from mammographic-histopathologic correlation of large-core needle breast biopsy. Radiographics. 16(5):1111-30, 1996
Brenner RJ et al: Percutaneous core biopsy of the breast: effect of operator experience and number of samples on diagnostic accuracy. AJR Am J Roentgenol. 166(2):341-6, 1996
Liberman L et al: Stereotaxic 14-gauge breast biopsy: how many core biopsy specimens are needed? Radiology. 192(3):793-5, 1994
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Definitions
Histopathologic findings from percutaneous breast biopsy do not provide acceptable explanation for imaging features
IMAGING
General Features
Mammographic Findings
Ultrasonographic Findings
MR Findings
Image-Guided Biopsy
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Davidson T et al: Correlations between core needle biopsy and excisional biopsy findings in suspected breast lesions: a single center study. Isr Med Assoc J. 20(7):401-4, 2018
Jung I et al: Ultrasonography-guided 14-gauge core biopsy of the breast: results of 7 years of experience. Ultrasonography. 37(1):55-62, 2018
Maldonado S et al: Utility of short-interval follow-up mammography after a benign-concordant stereotactic breast biopsy result. Breast. 42:50-3, 2018
Park VY et al: Evaluating imaging-pathology concordance and discordance after ultrasound-guided breast biopsy. Ultrasonography. 37(2):107-20, 2018
Santiago L et al: MR imaging-guided breast interventions: indications, key principles, and imaging-pathology correlation. Magn Reson Imaging Clin N Am. 26(2):235-46, 2018
Shin K et al: Tomosynthesis-guided core biopsy of the breast: why and how to use it. J Clin Imaging Sci. 8:28, 2018
Deb R et al: National survey of B1 and B2 reporting of breast needle core biopsies. J Clin Pathol. 69(3):271-4, 2016
Monticciolo DL et al: Six-month short-interval imaging follow-up for benign concordant core needle biopsy of the breast: outcomes in 1444 cases with long-term follow-up. AJR Am J Roentgenol. 1-6, 2016
Prakash S et al: Improving patient care by incorporation of multidisciplinary breast radiology-pathology correlation conference. Can Assoc Radiol J. 67(2):122-9, 2016
Soyder A et al: Imaging-histological discordance after sonographically guided percutaneous breast core biopsy. Breast Care (Basel). 10(1):33-7, 2015
Lee SH et al: Vacuum-assisted breast biopsy under ultrasonographic guidance: analysis of a 10-year experience. Ultrasonography. 33(4):259-66, 2014
Spick C et al: Diagnostic utility of second-look US for breast lesions identified at MR imaging: systematic review and meta-analysis. Radiology. 273(2):401-9, 2014
Gümüş H et al: Breast microcalcification: diagnostic value of calcified and non-calcified cores on specimen radiographs. Breast J. 19(2):156-61, 2013
Ho CP et al: Interactive case review of radiologic and pathologic findings from breast biopsy: are they concordant? How do I manage the results? Radiographics. 33(4):E149-52, 2013
Sung JS et al: Patient follow-up after concordant histologically benign imaging-guided biopsy of MRI-detected lesions. AJR Am J Roentgenol. 198(6):1464-9, 2012
Zhang C et al: The negative predictive value of ultrasound-guided 14-gauge core needle biopsy of breast masses: a validation study of 339 cases. Cancer Imaging. 12:488-96, 2012
Salkowski LR et al: Utility of 6-month follow-up imaging after a concordant benign breast biopsy result. Radiology. 258(2):380-7, 2011
Son EJ et al: Imaging-histologic discordance after sonographically guided percutaneous breast biopsy: a prospective observational study. Ultrasound Med Biol. 37(11):1771-8, 2011
Wang ZL et al: Breast lesions with imaging-histologic discordance during 16-gauge core needle biopsy system: would vacuum-assisted removal get significantly more definitive histologic diagnosis than vacuum-assisted biopsy? Breast J. 17(5):456-61, 2011
Li JL et al: Breast lesions with ultrasound imaging-histologic discordance at 16-gauge core needle biopsy: can re-biopsy with 10-gauge vacuum-assisted system get definitive diagnosis? Breast. 19(6):446-9, 2010
Mihalik JE et al: The rate of imaging-histologic discordance of benign breast disease: a multidisciplinary approach to the management of discordance at a large university-based hospital. Am J Surg. 199(3):319-23; discussion 323, 2010
Jackman RJ et al: False-negative diagnoses at stereotactic vacuum-assisted needle breast biopsy: long-term follow-up of 1,280 lesions and review of the literature. AJR Am J Roentgenol. 192(2):341-51, 2009
Schueller G et al: Accuracy of ultrasound-guided, large-core needle breast biopsy. Eur Radiol. 18(9):1761-73, 2008
Schueller G et al: US-guided 14-gauge core-needle breast biopsy: results of a validation study in 1352 cases. Radiology. 248(2):406-13, 2008
Kim MJ et al: Breast lesions with imaging-histologic discordance during US-guided 14G automated core biopsy: can the directional vacuum-assisted removal replace the surgical excision? Initial findings. Eur Radiol. 2007 Sep;17(9):2376-83. Epub 2007 Mar 15. Erratum in: Eur Radiol. 17(12):3261, 2007
Lee JM et al: Imaging histologic discordance at MRI-guided 9-gauge vacuum-assisted breast biopsy. AJR Am J Roentgenol. 189(4):852-9, 2007
Youk JH et al: Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 27(1):79-94, 2007
Cho N et al: Sonographically guided core biopsy of the breast: comparison of 14-gauge automated gun and 11-gauge directional vacuum-assisted biopsy methods. Korean J Radiol. 6(2):102-9, 2005
Crystal P et al: Accuracy of sonographically guided 14-gauge core-needle biopsy: results of 715 consecutive breast biopsies with at least two-year follow-up of benign lesions. J Clin Ultrasound. 33(2):47-52, 2005
Dillon MF et al: The accuracy of ultrasound, stereotactic, and clinical core biopsies in the diagnosis of breast cancer, with an analysis of false-negative cases. Ann Surg. 242(5):701-7, 2005
Sauer G et al: Ultrasound-guided large-core needle biopsies of breast lesions: analysis of 962 cases to determine the number of samples for reliable tumour classification. Br J Cancer. 92(2):231-5, 2005
Crowe JP Jr et al: Does ultrasound core breast biopsy predict histologic finding on excisional biopsy? Am J Surg. 186(4):397-9, 2003
Fishman JE et al: US-guided core-needle biopsy of the breast: how many specimens are necessary? Radiology. 226(3):779-82, 2003
March DE et al: Breast masses: removal of all US evidence during biopsy by using a handheld vacuum-assisted device--initial experience. Radiology. 227(2):549-55, 2003
Philpotts LE et al: Comparison of automated versus vacuum-assisted biopsy methods for sonographically guided core biopsy of the breast. AJR Am J Roentgenol. 180(2):347-51, 2003
Parker SH et al: Sonographically guided directional vacuum-assisted breast biopsy using a handheld device. AJR Am J Roentgenol. 177(2):405-8, 2001
Liberman L et al: Imaging-histologic discordance at percutaneous breast biopsy. Cancer. 89(12):2538-46, 2000
Philpotts LE et al: Comparison of rebiopsy rates after stereotactic core needle biopsy of the breast with 11-gauge vacuum suction probe versus 14-gauge needle and automatic gun. AJR Am J Roentgenol. 172(3):683-7, 1999
Meyer JE et al: Large-needle core biopsy: nonmalignant breast abnormalities evaluated with surgical excision or repeat core biopsy. Radiology. 206(3):717-20, 1998
Berg WA et al: Lessons from mammographic-histopathologic correlation of large-core needle breast biopsy. Radiographics. 16(5):1111-30, 1996
Brenner RJ et al: Percutaneous core biopsy of the breast: effect of operator experience and number of samples on diagnostic accuracy. AJR Am J Roentgenol. 166(2):341-6, 1996
Liberman L et al: Stereotaxic 14-gauge breast biopsy: how many core biopsy specimens are needed? Radiology. 192(3):793-5, 1994
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