Core needle biopsy causing a pseudoaneurysm in the breast

Ann R Coll Surg Engl. 2022 Jan;104(1):e21-e24. doi: 10.1308/rcsann.2021.0099. Epub 2021 Nov 3.

Abstract

Core needle biopsy (CNB) is the first-choice method of sampling suspicious, focal breast lesions for histological analysis. Here we present the case of a 65-year-old woman who was recalled for evaluation of the left breast following a screening mammogram. An ultrasound-guided biopsy was performed using a disposable core biopsy needle and 3 weeks later a magnetic resonance imaging scan showed a distended vessel with adjacent sac measuring 17 × 15mm2. A Doppler ultrasound scan confirmed pseudoaneurysm. A review of the literature was made on breast pseudoaneurysm following CNB, and over the past 20 years there were few other reports. Pseudoaneurysms in the breast are a rare but serious complication of CNBs. They may spontaneously thrombose, but often require intervention, so it is essential that clinicians are aware of the risk.

Keywords: Breast; Core needle biopsy; Pseudoaneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Biopsy, Large-Core Needle / adverse effects*
  • Breast / diagnostic imaging*
  • Breast / pathology
  • Female
  • Humans
  • Image-Guided Biopsy
  • Ultrasonography, Doppler
  • Ultrasonography, Interventional