Our Summary

This study looked at the effectiveness and efficiency of two different methods for performing biopsies on suspicious-looking calcifications in the breast, which could be signs of cancer. The two methods were stereotactic vacuum-assisted biopsies (ST-VABs) and digital breast tomosynthesis guided vacuum-assisted biopsies (DBT-VABs).

The study found that both methods were highly successful at getting tissue samples, but the DBT-VAB method was faster in terms of positioning the patient, performing the biopsy, and overall procedure time. This was likely because the DBT images provided better depth information and clearer visibility of the target area, allowing for quicker decision-making.

The types of pathological findings, or what was discovered in the tissue samples, were similar for both methods. This suggests that the DBT-VAB method could be a more efficient choice for these types of biopsies without sacrificing the quality of the results.

FAQs

  1. What were the two methods of biopsy compared in this study?
  2. Which method was found to be more efficient in performing breast biopsies?
  3. Does the use of the DBT-VAB method affect the quality of the biopsy results?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast biopsy is to ask about the specific method being used and inquire about any potential benefits or advantages of that method. It’s important for patients to feel informed and comfortable about the procedure, so don’t hesitate to ask questions and discuss any concerns with your healthcare provider.

Suitable For

Patients who are typically recommended for breast biopsy are those who have suspicious findings on a mammogram, ultrasound, or MRI, such as abnormal calcifications, masses, or lumps. These findings may indicate the presence of breast cancer or other abnormalities that require further evaluation. Additionally, patients with a personal or family history of breast cancer, genetic mutations that increase the risk of breast cancer, or other risk factors may also be recommended for a breast biopsy. It is important for these patients to undergo a biopsy to determine the nature of the abnormality and guide further treatment decisions.

Timeline

Before the breast biopsy:

  • Patient receives a recommendation for a breast biopsy after a suspicious finding on a mammogram or ultrasound
  • Patient may undergo additional imaging tests to further evaluate the abnormality
  • Patient meets with a healthcare provider to discuss the biopsy procedure, risks, and benefits
  • Patient may undergo pre-operative testing such as blood work or a physical exam

During and after the breast biopsy:

  • Patient arrives at the imaging center or hospital for the biopsy procedure
  • Patient receives local anesthesia to numb the area where the biopsy will be performed
  • Biopsy procedure is performed using either stereotactic vacuum-assisted biopsy (ST-VAB) or digital breast tomosynthesis guided vacuum-assisted biopsy (DBT-VAB)
  • Patient may experience some discomfort during the procedure
  • Tissue samples are obtained and sent to a lab for analysis
  • Patient is monitored for any signs of complications after the procedure
  • Patient receives follow-up information on when to expect biopsy results
  • Patient may experience some bruising or tenderness at the biopsy site for a few days

After receiving biopsy results:

  • Patient meets with their healthcare provider to discuss the results and next steps
  • If cancer is detected, patient may undergo further tests and treatments such as surgery, radiation therapy, or chemotherapy
  • If the biopsy results are benign, patient may need continued monitoring or follow-up imaging
  • Patient may experience a range of emotions, including relief, anxiety, or uncertainty about the future
  • Patient may be referred to a support group or counselor for emotional support.

What to Ask Your Doctor

Some questions a patient should ask their doctor about breast biopsy include:

  1. What are the specific risks and benefits of each biopsy method (ST-VAB vs. DBT-VAB)?
  2. How will the results of the biopsy impact my treatment plan?
  3. What is the likelihood of the biopsy finding cancerous cells?
  4. How long will it take to get the results of the biopsy?
  5. What follow-up care will be necessary after the biopsy?
  6. Are there any alternative biopsy methods that could be considered?
  7. What experience does the medical team have with performing these types of biopsies?
  8. How should I prepare for the biopsy procedure?
  9. What can I expect during and after the biopsy procedure?
  10. Will I experience any pain or discomfort during the biopsy?

Reference

Authors: Ido M, Saito M, Banno H, Ito Y, Goto M, Ando T, Kousaka J, Mouri Y, Fujii K, Imai T, Nakano S, Suzuki K, Murotani K. Journal: BMC Med Imaging. 2023 Jan 5;23(1):2. doi: 10.1186/s12880-022-00896-1. PMID: 36604648