Utilization of minimally invasive breast biopsy for the evaluation of suspicious breast lesions

Am J Surg. 2011 Aug;202(2):127-32. doi: 10.1016/j.amjsurg.2010.09.005. Epub 2011 Feb 3.


Background: Percutaneous needle biopsy, also known as minimally invasive breast biopsy (MIBB), has become the gold standard for the initial assessment of suspicious breast lesions. The purpose of this study is to determine modern rates of MIBB and open breast biopsy.

Methods: The Florida Agency for Health Care Administration outpatient surgery and procedure database was queried for patients undergoing open surgical biopsy and MIBB between 2003 and 2008.

Results: Although there was an increase in the use of MIBB, the overall rate of open surgical biopsy remained high (∼30%). A reduction in the open biopsy rate from 30% to 10% could be associated with a charge reduction of >$37.2 million per year.

Conclusions: The current rate of open surgical breast biopsy remains high. Interventions and quality initiatives are warranted, which could lead to a reduction in unnecessary operations for women, improved patient care, and a reduction in breast health care costs.

MeSH terms

  • Adenoma / diagnosis
  • Adenoma / surgery
  • Adult
  • Aged
  • Aged, 80 and over
  • Biopsy / adverse effects
  • Biopsy / methods*
  • Biopsy / statistics & numerical data
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / diagnostic imaging
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery*
  • Breast Neoplasms, Male / diagnosis
  • Breast Neoplasms, Male / surgery
  • Cryosurgery
  • Diagnosis, Differential
  • Education, Medical / standards
  • Fellowships and Scholarships
  • Female
  • Fibroadenoma / diagnosis*
  • Fibroadenoma / surgery*
  • Humans
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / education
  • Minimally Invasive Surgical Procedures / methods
  • Neoplasm Invasiveness
  • Papilloma, Intraductal / diagnosis
  • Papilloma, Intraductal / surgery
  • Ultrasonography, Mammary*
  • Vacuum