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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
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- 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)
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“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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