Corrélations radio-histopathologiques des macrobiopsies mammaires pour microcalcifications
macrobiopsies, microcalcifications
Keywords:
macrobiopsies, microcalcifications
Abstract
La principale indication des macrobiopsies sous stéréotaxie est la détection de foyer de microcalcifications. Cette technique est fiable et peut remplacer les biopsies chirurgicales.
L’utilisation des biopsies stéréotaxiques est en nette augmentation lors de la découverte de lésions infracliniques en particulier à type de foyers de microcalcifications.
La prise en charge des biopsies sous stéréotaxie dans le cadre des prélèvements de microcalcifications est délicate. Le challenge pour le radiologue et le pathologiste est de préserver au maximum de calcifications afin de permettre un diagnostic fiable.
References
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2- Ciatto S, Houssami N, Ambrogetti D, et al. Accuracy and under- estimation of malignancy of breast core needle biopsy: the Florence experience of over 4000 consecutive biopsies. Breast Cancer Res Treat. 2007;101:291–297.
3- Y-C Cheung, Y-H Juan, S-H Ueng, Y-F Lo, P-C Huang, Y-C Lin, S-C Chen.
Assessment of Breast Specimens With or Without Calcifications in Diagnosing Malignant and Atypia for Mammographic Breast Microcalcifications Without Mass
A STARD-Compliant Diagnostic Accuracy Article . Medecine. 2015 ;Oct : 94 (42).
4- Gallagher R, Schafer G, Redick M, Inciradi M, Smith W, Fan F, Tawfik O. Microcalcifications of the breast: a mammographic-histologic correlation study using a newly designed Path/Rad Tissue Tray. Annals of Diagnostic Pathology 16 (2012) 196–201.
5- D'Orsi CJ, et al. Breast specimen microcalcifications: radiographic validation and pathologic-radiologic correlation. Radiology. 1991 Aug;180(2):397-401.
6- Penco S, Rizzo S, Bozzini A C, Latronico A, Menna S, Cassano E, Bellomi M.
Stereotactic Vacuum-Assisted Breast Biopsy Is Not a Therapeutic Procedure Even When All Mammographically Found Calci cations Are Removed: Analysis of 4,086 Procedures
AJR November 2010:195.
8- Meyer JE, Smith DN, Di Piro PJ, et al. Stereotac- tic breast biopsy of clustered microcalci cations with a directional vacuum-assisted device. Radiology 1997; 204:575–576
9- Liberman L, Hann LE, Dershaw DD, Morris EA, Abramson AF, Rosen PP. Mammographic nd- ings after stereotactic 14-gauge vacuum-assisted biopsy. Radiology 1997; 203:343–347
9- Kettritz U, Rotter K, Schreer I, et al. Stereotactic vacuum assisted breast biopsy in 2874 patients: a multicenter study. Cancer 2004; 100:245–251
10- Dahlstrom, J. E.; Sutton, S.; Jain, S. Histologic-Radiologic Correlation of Mammographically Detected Microcalcification in Stereotactic Core Biopsies. The American Journal of Surgical Pathology. 22(2):256-259, February 1998.
11- Grimes M.M, Karageorge, L. S, Hogge, J.P. Does Exhaustive Search for Microcalcifications Improve Diagnostic Yield in Stereotactic Core Needle Breast Biopsies. Mod Pathol 2001;14(4):350–353.
12-Kumaraswamy V, Carder PJ. Examination of breast needle core biopsy specimens performed for screen-detected microcalcification. J Clin Pathol. 2007 Jun;60(6):681-4.
