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Most Recent Studies

  • Steven Schonholz, M.D., FACS: Reexcision Rates and its Relationship with the Breast Lesion Excision System as the Initial Core Biopsy Device. Presented at the American Society of Breast Surgeons Meeting.
    (2.6MB PDF)

Peer-reviewed Publications

Research the potential for Surgical Avoidance in Papillomas
  • - Dr. László Tabár, one of the world's foremost mammographers, has been using the Intact BLES for about a year. During his evaluation of the
    Intact BLES, Dr. Tabár became intrigued with its potential for the avoidance of surgical biopsy for high risk lesions and initiated a retrospective study of 140 consecutive cases of breast papillary lesions as far back as 1995. Click below to read the results of this retrospective study. (207KB PDF)
  • Sie A, et al., Multi-center Evaluation of the Breast Lesion Excision System, a Percutaneous, Vacuum-Assisted Intact-Specimen Breast Biopsy Device. Cancer, Volume 107, September 2006., pp. 945-949 (124KB PDF)

  • Killebrew LK, Oneson RH, Comparison of the Diagnostic Accuracy of a Vacuum-Assisted Percutaneous Intact Specimen Sampling Device to a Vacuum-Assisted Core Needle Sample Device for Breast Biopsy: Initial Experience. The Breast
    Journal, Volume 12, Number 4, July 2006, pp. 302-308. (160KB PDF)

  • Rogers LW, Breast Biopsy: A Pathologist's Perspective on Biopsy Acquisition Techniques and Devices with Radiologic-Pathologic Correlation. Seminars in Breast Disease, November 2006, pp. 127-137. (6.5MB PDF)

Comparison of Procedures

  • Comparison of the Diagnostic Accuracy of a Vacuum-assisted Percutaneous Intact Specimen Biopsy Device to 11-gauge Vacuum-assisted Core Procedures (3.6MB PDF)
  • Comparison of Diagnostic Accuracy to a Vacuum-Assisted Core Needle Sampling Device for Biopsy of Breast Cancer (671KB PDF)
  • Comparison of Diagnostic Accuracy to a Core Needle Sampling Device for Biopsy of Breast Cancer (18KB PDF)
  • Percutaneous Contiguous Electrosurgical Breast Biopsy Devices (3.6MB PDF)
Pathology
  • Initial Experience: A Pathology Perspective (2.8MB PDF)
  • Histopathological Preparation (128KB PDF)
  • Comparison of specimen sizes and histopathological preparation vs. 11g and 8g vacuum-assisted core (926KB PDF)
  • Intact Image Guided Breast Biopsy Reduces Need for Subsequent Open Excision in Benign Proliferative Lesions (244KB PDF)

The Case for Surgical Avoidance

  • Sparing Patients Surgery When Facing Four Common Challenges (448KB PDF)
  • Avoiding Surgical Excisional Biopsies for Specific ADH Diagnoses (128KB PDF)
  • Advantages over 11gCore Needle Biopsy for the Diagnosis of Benign Radial Scars (220KB PDF)
  • Reduced Sampling Error Prevents Additional Surgery for a Patient with Persistent DCIS (140KB PDF)
  • Ability to Diagnose IDC During Biopsy Spares Patient a Third Intervention (220KB PDF)
  • Avoiding Surgery in Small, Dense Lesions (120KB PDF)
  • Confidence from a Benign Diagnosis of Ductal Papilloma Spares Patient Surgical Biopsy (164KB PDF)
  • Complete Escision of Papillary Lesion Avoids Need for Open Surgery (132KB PDF)
  • Complete Percutaneous Excision of Radial Scar Avoids Surgical Removal (164KB PDF)
  • Distinguishing Intraductal Papilloma from DCIS Spares Patient Surgical Biopsy (140KB PDF)
  • Differentiation of Schlerosing Adenosis from LCIS Spares Patient a Surgical Biopsy (2.7MB PDF)
  • Avoiding Surgery in an Elderly Patient (200KB PDF)
  • Confident Diagnosis of Ultrasonically Imageable Masses in the Breast (212KB PDF)

 

Technical Notes

  • Anesthetic Protocol for Intact™ Breast Lesion Excision System (138KB PDF)
  • US-Guidance: Use of Lidocaine or Saline Bolus to Separate Lesions From Skin or Chest Wall (2.0MB PDF)
  • US-Guidance: Special Techniques to Create Safe Margin (1.8MB PDF)
  • Lower Pain Scales (64KB PDF)
  • Patient Education and Pain Management (64KB PDF)
  • Cosmetic and Mammographic Healing (2.7MB PDF)
  • Longer Term Mammographic Characteristics (1.1MB PDF)
  • Incision Closure (276KB PDF)
Ultrasound Procedure


Watch the video
“A larger specimen is really a great advantage, because so much of what is now re-excised represents minimal ADH. If you had a larger specimen, it was oriented, and had a sequential sequence, you would know that it is only ADH. You can stop [and avoid sending the patient for surgical excision].

Michael D. Lagios, MD
The Breast Cancer Consultation Service
Tiburon, California



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