Percutaneous excisional biopsy of impalpable breast lesions under ultrasound visualization

被引:34
作者
He, Qingqing [1 ]
Fan, Xihong [1 ]
Guan, Yifan [2 ]
Tian, Jun [1 ]
Fan, Ziyi [1 ]
Zheng, Luming [1 ]
机构
[1] Jinan Mil Gen Hosp, Dept Gen Surg, Jinan 250031, Shandong, Peoples R China
[2] Jinan Mil Gen Hosp, Dept Ultrason Diag, Jinan 250031, Shandong, Peoples R China
关键词
Ultrasound-guided mammotome; Impalpable breast lesion; Minimally invasive surgery;
D O I
10.1016/j.breast.2008.08.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Within the last ten years, the development of innovative minimally invasive breast biopsy technologies has made a significant impact on the diagnostic evaluation of impalpable breast lesions. The Mammotome minimally invasive biopsy system is a diagnostic tool used under stereotactic or ultrasound guidance. The minimally invasive biopsies for 143 impalpable breast lesions in 86 patients were performed using the B-ultrasound-guided 8-gauge vacuum-assisted Mammotome system at Jinan Military General Hospital. One hundred and forty-three breast lesions in 86 patients were excised completely using this method. The average biopsy procedure time was 17 min (range, 3-45 min). Clinically, suspicious lesions were satisfactorily confirmed by this system. One hundred and twenty-one lesions were diagnosed as fibroadenoma, nineteen lesions as breast adenosis, one lesion as invasive breast cancer. and two lesions as ductal carcinoma in situ. Skin ecchymosis was found in two patients. One hundred and thirty-two impalpable lesions were completely excised, as demonstrated by the follow-up ultrasound examination. The results suggest that the B-ultrasound-guided Mammotome system may be an efficient tool for the diagnosis and treatment of impalpable breast lesions. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:666 / 670
页数:5
相关论文
共 12 条
[1]   Minimal invasive complete excision of benign breast tumors using a three-dimensional ultrasound-guided mammotome vacuum device [J].
Baez, E ;
Huber, A ;
Vetter, M ;
Hackelöer, BJ .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2003, 21 (03) :267-272
[2]   Ultrasound-guided vacuum-assisted core breast biopsy: experience with 406 cases [J].
Cassano, Enrico ;
Urban, Linei A. B. D. ;
Pizzamiglio, Maria ;
Abbate, Francesca ;
Maisonneuve, Patrick ;
Renne, Giuseppe ;
Viale, Giuseppe ;
Bellomi, Massimo .
BREAST CANCER RESEARCH AND TREATMENT, 2007, 102 (01) :103-110
[3]   Intraoperative ultrasonographically guided excisional biopsy or vacuum-assisted core needle biopsy for nonpalpable breast lesions [J].
Chen, SC ;
Yang, HR ;
Hwang, TL ;
Chen, MF ;
Cheung, YC ;
Hsueh, S .
ANNALS OF SURGERY, 2003, 238 (05) :738-742
[4]   Preoperative mammotome biopsy of ducts beneath the nipple areola complex [J].
Govindarajulu, S. ;
Narreddy, S. ;
Shere, M. H. ;
Ibrahim, N. B. N. ;
Sahu, A. K. ;
Cawthorn, S. J. .
EJSO, 2006, 32 (04) :410-412
[5]   Sonographically guided mammotome excision of ducts in the diagnosis and management of single duct nipple discharge [J].
Govindarajulu, S. ;
Narreddy, S. R. ;
Shere, M. H. ;
Ibrahim, N. B. ;
Sahu, A. K. ;
Cawthorn, S. J. .
EJSO, 2006, 32 (07) :725-728
[6]   Eleven years of experience reveals that fine-needle aspiration cytology is still a useful method for preoperative diagnosis of breast carcinoma [J].
He, Qingqing ;
Fan, Xihong ;
Yuan, Tinggui ;
Kong, Lixin ;
Du, Xiumin ;
Zhuang, Dayong ;
Fan, Ziyi .
BREAST, 2007, 16 (03) :303-306
[7]   Percutaneous excisional breast biopsy [J].
Johnson, AT ;
Henry-Tillman, RS ;
Smith, LF ;
Harshfield, D ;
Korourian, S ;
Brown, H ;
Lane, S ;
Colvert, M ;
Klimberg, VS .
AMERICAN JOURNAL OF SURGERY, 2002, 184 (06) :550-554
[8]   Indications for stereotactically-guided vacuum-assisted breast biopsy for patients with category 3 microcalcifications. [J].
Kikuchi M. ;
Tsunoda-Shimizu H. ;
Kawasaki T. ;
Suzuki K. ;
Nakamura S. ;
Yagata H. ;
Tsugawa K. ;
Takahashi O. .
Breast Cancer, 2007, 14 (3) :285-291
[9]   Evaluation and indications of ultrasound-guided vacuum-assisted core needle breast biopsy. [J].
Nakano S. ;
Sakamoto H. ;
Ohtsuka M. ;
Mibu A. ;
Sakata H. ;
Yamamoto M. .
Breast Cancer, 2007, 14 (3) :292-296
[10]  
Parker S. H., 1996, J DIAGN MED SONOG, V12, P113