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Stereotactic Breast Biopsy of Nonpalpable Lesions: Determinants of Ductal Carcinoma in Situ Underestimation Rates1

Roger J. Jackman, MD, Fred Burbank, MD, Steve H. Parker, MD, W. Phil Evans, III, MD, Mary C. Lechner, MD, Thomas R. Richardson, MD, Anne A. Smid, MD, Harriet B. Borofsky, MD, Carol H. Lee, MD, Harvey M. Goldstein, MD, Kathy J. Schilling, MD, Alan B. Wray, MD, Rachel F. Brem, MD, Thomas H. Helbich, MD, Daniel E. Lehrer, MD and Steven J. Adler, MD

1 From the Depts of Radiology of Palo Alto Med Clinic, 795 El Camino Real, Palo Alto, CA 94301 (R.J.J.); Mission Breast Care Center, Mission Viejo, Calif (F.B.); Sally Jobe Breast Center, Englewood, Colo (S.H.P.); Susan G. Komen Breast Center, Dallas, Tex (W.P.E.); Park Nicollet Med Center, Minneapolis, Minn (M.C.L.); Fresno Breast Center, Calif (T.R.R.); Women’s Center Breast Care Clinic of Cox Health Systems, Springfield, Mo (A.A.S.); Mills-Peninsula Breast Center, San Mateo, Calif (H.B.B.); Yale Univ School of Medicine, New Haven, Conn (C.H.L.); South Texas Radiology Group, San Antonio (H.M.G.); Boca Raton Community Hosp, Fla (K.J.S.); Eastern Idaho Regional Med Center, Idaho Falls (A.B.W.); Johns Hopkins Med Institutions, Baltimore, Md (R.F.B.); Univ of Vienna, Austria (T.H.H.); CERIM, Buenos Aires, Argentina (D.E.L.); and Virginia Mason Med Center, Seattle, Wash (S.J.A.). From the 1998 RSNA scientific assembly. Received Aug 19, 1999; revision requested Oct 14; final revision received May 2, 2000; accepted May 22. Supported in part by an educational grant from Biopsys Medical to the Palo Alto Medical Foundation. Address correspondence to R.J.J. (e-mail: jackmanr@pamf.org).



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  		Figure 1. Bar graph shows significantly lower underestimation rates for biopsies performed with a vacuum-assisted device, as compared with those performed with a large-core device in lesions with a maximum diameter of 1-10-mm (P < .004) or 11-20 mm (P < .006) but not for lesions with a maximum diameter of 21 mm or greater (P > .5).

 




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