Minimally Invasive Breast Procedures

Modern imaging methods have made it possible to detect breast cancer at an earlier stage than in the past. Nevertheless, a large majority of suspicious findings at screening subsequently prove to be benign. It is therefore important to be able to identify benign lesions in a manner that is reliable, tissue sparing, patient friendly, and cost-effective. More than 70 percent of breast biopsies can now be performed using minimally invasive procedures that meet these criteria. This book examines in detail vacuum-assisted minimally invasive breast biopsy systems (ATEC, EnCor, Intact, Mammotome and Vacora), stereotactic systems, MRI-guided procedures, and ductoscopy. Further chapters are devoted to the pathology of the breast tissue obtained using these procedures, their limitations, the implications of recent advances in breast imaging, and the results of cost-benefit analyses. The closing chapter provides a systematic review and meta-analysis of recent data. From the reviews: "This volume in the Recent Results in Cancer Research series reviews current techniques in minimally invasive procedures used to diagnose breast malignancy. ... The book seems to be directed at practicing radiologists and possibly surgeons, fellows in breast imaging, and possibly residents in training. ... would be helpful to those who do not have extensive experience in this field. ... thorough content and extensive illustrations render it a useful resource, particularly to those with limited experience in performing breast needle biopsies." (Dana Smetherman, Doody's Review Service, April, 2010)