Foteini Neamonitou*, Bernadette Bickley, Selvi Mahalingham and Brian Isgar
Department General Surgery, The Royal of Wolverhampton NHS Trust, UKFulltext PDF
Core needle biopsy is being used for the diagnosis of breast masses and it is part of triple breast screening program in the UK. Generally, the most frequently encountered complication is hematoma. However, iatrogenic pseudoaneurysm is considered to be a potential but a rare complication. In this paper, we report a case of pseudoaneurysm occurring after a core needle biopsy in a breast lesion, part of the triple breast screening. A 51-year-old woman with no relevant medical history recalled from the breast screening program for a distortion in the upper outer quadrant of the right breast. The lesion was an X-5, P-1, U-5 with normal axilla and histologically grade 2 type Ca ER+ (Q=8 HER2-). The surgical management after the MDT meeting was a wire ultrasound guided wide local excision and sentinel lymph-node biopsy. On the day of surgery, the ultrasound scan -prior to wire guided localization procedure demonstrated findings suggestive of a pseudoaneurysm within the lesion and the wire was not placed. The conservative breast procedure was performed and the pseudoaneurysm was completely excised along with the mass while its feeding artery was identified and clipped safely. Furthermore, this paper revises most of the documented cases in the literature of iatrogenic pseudoaneurysm following a biopsy of breast lesion. Overall, this case highlights the importance of careful evaluation of needle trajectory route to avoid arterial puncture in the way between the skin and lesion.
Neamonitou F, Bickley B, Mahalingham S, Isgar B. Core Needle Breast Biopsy Case Report and Literature Review: A Case of Iatrogenic Pseudoaneurysm in Breast Lesion Biopsy. Clin Surg. 2019; 4: 2694..