Learning objectives
To describe the complications of core needle breast biopsy.
To evaulate the pseudoaneursym findings arised after core needle breast biopsy on gray-scale ultrasonography and color doppler ultrasonography.
Background
Currently, due to the widespread use of mammography for screening, the frequency of lesions that require histological diagnosis, palpable or non-palpable lesions has increased. Ultrasonography (US) guided biopsies are used as an important alternative to open surgical biopsies in the diagnosis of non-palpable lesions(1). 14-G long-throw needles are the standard. Core biopsies provide a more accurate diagnosis than fine needle aspirations(1). The sensitivity of US-guided core biopsy is reported to be between 92% and 100% (Avg. 96%)(1). Core biopsies provide pathologic diagnosis as well as...
Findings and procedure details
Case 1:
A 74-years-old female patient who underwent breast core biopsy at the another medical centre because of a palpable mass in her left breast was referred to our clinic for ultrasonography(US) and mammography.
The mammography showed a mass with irregular defined border with a small number of microcalcifications in the lower inner quadrant of the left breast(Figure1).
In the lower inner quadrant of the left breast a homogeneous, hypoechoic, solid mass with irregular borders was detected on sonography(Figure2). The lesion was classified as category...
Conclusion
Pseudoaneurysm arises with the accumulation of blood flowing in the tissue adjacent to the vessel which develops with a hole or tear in the artery wall (3). Pseudoaneurysm does not have a real wall and is confined to surrounding tissues and fibrous capsule(3).
Pseudoaneurysm of the breast is rare and its natural development is not known. It occurs iatrogenically after breast biopsies.
Patients with a higher risk of developing pseudoaneurysm; older women with a history of atherosclerosis and hypertension, and the increased risk is associated...
Personal information and conflict of interest
Ö. Aslan; Izmir/TR - nothing to disclose I. Gunhan Bilgen; Izmir/TR - nothing to disclose A. O. Oktay; Izmir/TR - nothing to disclose
References
1. Oktay A.,Meme hastalıklarında görüntüleme 2014.
2. Dixon AM, Enion DS. Pseudoaneurysm of the breast: case study and review of literatüre. Br J Radiol. 2004 Aug;77(920):694-7.
3. Massimo Bazzocchi, Giuliana E. Francescutti, Chiara Zuiani, Chiara Del Frate, Viviana Londero. Breast Pseudoaneurysm in a Woman After Core Biopsy: Percutaneous Treatment with Alcohol. American Journal of Roentgenology. 2002;179: 696-698.
4. American College of Radiology. Breast imaging reporting and data system (BI-RADS), 5rd: American College of Radiology, 2013
5. Apple S. Interdisciplinary management of the interventional patient. In:...