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C-2054 - A pictorial review of breast biopsy complications  

J. Hiraoka Catani, R. A. E. K. Matsumoto, F. T. Horigome, T. C. d. M. Tucunduva, m. a. costenaro, N. de Barros; Sao Paulo/BR Type: Educational Exhibit
Area of Interests: Interventional non-vascular, Breast
Imaging Techniques: Ultrasound, Mammography, Ultrasound-Colour Doppler
Procedures: Biopsy, Complications
Special Focuses: Infection, Hemorrhage, Metastases
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Learning objectives: to describe and illustrate some complications of percutaneous breast biopsies; to describe the management principles for the main complications of percutaneous breast biopsies.

Background: Percutaneous breast biopsy is a simple and minimally invasive procedure that is widely used as a diagnostic tool for pathologic evaluation of suspicious breast lesions. Complications are not common, and the majority of these complications are minor, although some can have clinical consequences. The [...]

Findings and procedure details: VASCULAR COMPLICATIONS HEMORRHAGE Bleeding that continues after 5-10 minutes and is often associated with a large area of bruising of the breast. The incidence of bruising is higher in patients undergoing anticoagulant therapy, but the incidence of post-biopsy hematoma is not affected by the coagu[...]

Conclusion: The most common complications are bleeding and hematomas, followed by infection. Hematoma manifests at imaging methods as masses with solid or solid-cystic components or increased density areas in mammographies.The main management aspect consists of manual compression and saline lavage. Infections [...]

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References: Gregg A, Leddy R, Lewis M, Irshad A. Acquired Arteriovenous Fistula of the Breast Following Ultrasound Guided Biopsy of Invasive Ductal Carcinoma. Journal of Clinical Imaging Science. 2013;3:38. doi:10.4103/2156-7514.119019. Haider MH, Satpathy A, Abou-Samra W. Iatrogenic arteriovenous fistula of th[...]

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