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Ultrasound-Guided Core Needle Biopsy
Regina J. Hooley, MD
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KEY FACTS

  • Preprocedure

    • Procedure

      • Post Procedure

        TERMINOLOGY

        • Abbreviations

          • US-guided core needle biopsy (US CNB)
        • Definitions

          • Use of US to guide core needle biopsy (CNB) of lesion

        PREPROCEDURE

        • Indications

          • Contraindications

            • Getting Started

              PROCEDURE

              • Patient Position/Location

                • Equipment Preparation

                  • Procedure Steps

                    • Findings and Reporting

                      • Alternative Procedures/Therapies

                        POST PROCEDURE

                        • Expected Outcome

                          • Things to Do

                            • Things to Avoid

                              OUTCOMES

                              • Complications

                                Selected References

                                1. 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
                                2. Huang ML et al: Comparison of the accuracy of US-guided biopsy of breast masses performed with 14-gauge, 16-gauge and 18-gauge automated cutting needle biopsy devices, and review of the literature. Eur Radiol. 27(7):2928-2933, 2017
                                3. Vasan A et al: Impact of sodium bicarbonate-buffered lidocaine on patient pain during image-guided breast biopsy. J Am Coll Radiol. ePub, 2017
                                4. Chetlen AL et al: Hematoma formation during breast core needle biopsy in women taking antithrombotic therapy. AJR Am J Roentgenol. 201(1):215-22, 2013
                                5. 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
                                6. Mahoney MC et al: Breast intervention: how I do it. Radiology. 268(1):12-24, 2013
                                7. Seferina SC et al: Reliability of receptor assessment on core needle biopsy in breast cancer patients. Tumour Biol. 34(2):987-94, 2013
                                8. Wojnar A et al: Discrepancies between HER2 assessment from core needle biopsies and surgical specimens of invasive ductal breast carcinoma. Adv Clin Exp Med. 22(1):27-31, 2013
                                9. Zheng J et al: Invasive ductal carcinoma of the breast: correlation between tumor grade determined by ultrasound-guided core biopsy and surgical pathology. AJR Am J Roentgenol. 200(1):W71-4, 2013
                                10. 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
                                11. Salkowski LR et al: Utility of 6-month follow-up imaging after a concordant benign breast biopsy result. Radiology. 258(2):380-7, 2011
                                12. Bruening W et al: Systematic review: comparative effectiveness of core-needle and open surgical biopsy to diagnose breast lesions. Ann Intern Med. 152(4):238-46, 2010
                                13. Somerville P et al: Anticoagulation and bleeding risk after core needle biopsy. AJR Am J Roentgenol. 191(4):1194-7, 2008
                                14. Youk JH et al: Sonographically guided 14-gauge core needle biopsy of breast masses: a review of 2,420 cases with long-term follow-up. AJR Am J Roentgenol. 190(1):202-7, 2008
                                15. Abe H et al: US-guided core needle biopsy of axillary lymph nodes in patients with breast cancer: why and how to do it. Radiographics. 27 Suppl 1:S91-9, 2007
                                16. Ciatto S et al: Accuracy and underestimation of malignancy of breast core needle biopsy: the Florence experience of over 4000 consecutive biopsies. Breast Cancer Res Treat. 101(3):291-7, 2007
                                17. 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
                                18. Fishman JE et al: US-guided core-needle biopsy of the breast: how many specimens are necessary? Radiology. 226(3):779-82, 2003
                                19. Melotti MK et al: Core needle breast biopsy in patients undergoing anticoagulation therapy: preliminary results. AJR Am J Roentgenol. 174(1):245-9, 2000
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Preprocedure

                                  • Procedure

                                    • Post Procedure

                                      TERMINOLOGY

                                      • Abbreviations

                                        • US-guided core needle biopsy (US CNB)
                                      • Definitions

                                        • Use of US to guide core needle biopsy (CNB) of lesion

                                      PREPROCEDURE

                                      • Indications

                                        • Contraindications

                                          • Getting Started

                                            PROCEDURE

                                            • Patient Position/Location

                                              • Equipment Preparation

                                                • Procedure Steps

                                                  • Findings and Reporting

                                                    • Alternative Procedures/Therapies

                                                      POST PROCEDURE

                                                      • Expected Outcome

                                                        • Things to Do

                                                          • Things to Avoid

                                                            OUTCOMES

                                                            • Complications

                                                              Selected References

                                                              1. 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
                                                              2. Huang ML et al: Comparison of the accuracy of US-guided biopsy of breast masses performed with 14-gauge, 16-gauge and 18-gauge automated cutting needle biopsy devices, and review of the literature. Eur Radiol. 27(7):2928-2933, 2017
                                                              3. Vasan A et al: Impact of sodium bicarbonate-buffered lidocaine on patient pain during image-guided breast biopsy. J Am Coll Radiol. ePub, 2017
                                                              4. Chetlen AL et al: Hematoma formation during breast core needle biopsy in women taking antithrombotic therapy. AJR Am J Roentgenol. 201(1):215-22, 2013
                                                              5. 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
                                                              6. Mahoney MC et al: Breast intervention: how I do it. Radiology. 268(1):12-24, 2013
                                                              7. Seferina SC et al: Reliability of receptor assessment on core needle biopsy in breast cancer patients. Tumour Biol. 34(2):987-94, 2013
                                                              8. Wojnar A et al: Discrepancies between HER2 assessment from core needle biopsies and surgical specimens of invasive ductal breast carcinoma. Adv Clin Exp Med. 22(1):27-31, 2013
                                                              9. Zheng J et al: Invasive ductal carcinoma of the breast: correlation between tumor grade determined by ultrasound-guided core biopsy and surgical pathology. AJR Am J Roentgenol. 200(1):W71-4, 2013
                                                              10. 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
                                                              11. Salkowski LR et al: Utility of 6-month follow-up imaging after a concordant benign breast biopsy result. Radiology. 258(2):380-7, 2011
                                                              12. Bruening W et al: Systematic review: comparative effectiveness of core-needle and open surgical biopsy to diagnose breast lesions. Ann Intern Med. 152(4):238-46, 2010
                                                              13. Somerville P et al: Anticoagulation and bleeding risk after core needle biopsy. AJR Am J Roentgenol. 191(4):1194-7, 2008
                                                              14. Youk JH et al: Sonographically guided 14-gauge core needle biopsy of breast masses: a review of 2,420 cases with long-term follow-up. AJR Am J Roentgenol. 190(1):202-7, 2008
                                                              15. Abe H et al: US-guided core needle biopsy of axillary lymph nodes in patients with breast cancer: why and how to do it. Radiographics. 27 Suppl 1:S91-9, 2007
                                                              16. Ciatto S et al: Accuracy and underestimation of malignancy of breast core needle biopsy: the Florence experience of over 4000 consecutive biopsies. Breast Cancer Res Treat. 101(3):291-7, 2007
                                                              17. 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
                                                              18. Fishman JE et al: US-guided core-needle biopsy of the breast: how many specimens are necessary? Radiology. 226(3):779-82, 2003
                                                              19. Melotti MK et al: Core needle breast biopsy in patients undergoing anticoagulation therapy: preliminary results. AJR Am J Roentgenol. 174(1):245-9, 2000