Pain during vacuum-assisted breast biopsy: are there any predictors?

Breast. 2008 Dec;17(6):592-5. doi: 10.1016/j.breast.2008.06.002. Epub 2008 Jul 26.

Abstract

Introduction: To assess the putative predictors that may be implicated in the pain experienced during stereotactic vacuum-assisted breast biopsy (VABB).

Materials and methods: One hundred and thirty-five consecutive women with microcalcifications underwent VABB on the Fischer's table. The visual analogue scale was used to measure the degree of the "average pain" (AP).

Results: At the univariable analysis, the AP was positively associated with the duration of the procedure, the diagnosis of malignant/preinvasive lesions and the volume of blood lost. Although menopausal status was not associated with the AP, within the premenopausal subpopulation, luteal phase was associated with higher VAS score. These findings also persisted at the multivariable ordinal logistic regression model. However, the mean experienced pain was associated neither with the volume of tissue excised nor with the hematoma formation, nor with patients' age.

Conclusion: The aforementioned factors were independent positive predictors of the mean experienced pain during VABB.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biopsy, Needle / adverse effects*
  • Biopsy, Needle / methods
  • Blood Loss, Surgical
  • Breast Neoplasms / pathology*
  • Female
  • Hematoma / etiology
  • Humans
  • Luteal Phase
  • Menopause
  • Middle Aged
  • Multivariate Analysis
  • Pain / diagnosis
  • Pain / etiology*
  • Pain Measurement
  • Vacuum