J Breast Cancer.  2011 Mar;14(1):64-68. 10.4048/jbc.2011.14.1.64.

Lateral Decubitus Positioning Stereotactic Vacuum-Assisted Breast Biopsy with True Lateral Mammography

• Jung YJ
• Bae YT
• Lee JY
• Seo HI
• Kim JY
• Choo KS

• KMID: 2175645
• DOI: http://doi.org/10.4048/jbc.2011.14.1.64

Abstract

Stereotactic vacuum-assisted breast biopsy (VAB) has been used to evaluate microcalcifications or non-palpable breast lesions on mammography. Although stereotactic VAB is usually performed in a prone or upright position, an expensive prone table is necessary and vasovagal reactions often occur during the procedure. For these reasons, the lateral decubitus position can be applied for stereotactic VAB, and true lateral mammography can be used to detect the lesion. We report on 15 cases of lateral decubitus positioning for stereotactic VAB with true lateral mammography for non-palpable breast lesions or microcalcifications. The mean procedure time was approximately 30.1 minutes, and no complications occurred during the procedures. Fourteen cases had benign breast lesions and one case had a ductal carcinoma in situ. The lateral decubitus stereotactic VAB with true lateral mammography can be applied for microcalcifications or non-palpable breast lesions and helps to minimize anxiety and vasovagal reactions in patients.

Keyword

Stereotactic techniques; Breast biopsy; Lateral positioning; Mammography

MeSH Terms

Anxiety
Biopsy
Breast
Carcinoma, Intraductal, Noninfiltrating
Humans
Mammography
Stereotaxic Techniques

Figure

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  Figure 1 Patient laid on the stereotactic vacuum-assisted breast biopsy table in the lateral decubitus position with the breast lesion upside.

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  Figure 2 A scout 15° paired stereotactic mammography view. The targeted microcalcification is seen below the probe.

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  Figure 3 Specimen mammography shows a microcalcification in three separate specimens (yellow circles).

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