Immersion Ultrasonography of Excised Nonpalpable Breast Lesion Specimens after Ultrasound-Guided Needle Localization
Korean Journal of Radiology
;
: 312-319, 2008.
Article
in English
| WPRIM
| ID: wpr-173068
ABSTRACT
OBJECTIVE:
Ultrasound-guided needle localization has been used prior to the surgical excision of nonpalpable breast lesions. The aim of the study was to assess the feasibility of the use of a saline immersion specimen ultrasound technique (immersion-US) to confirm the successful removal of breast lesions. MATERIALS ANDMETHODS:
The devised immersion-US technique was used to examine the excised tissues of 72 ultrasound-guided needle localized breast lesions of 58 patients (34 benign lesions, 30 high-risk lesions and 8 malignant lesions). Freshly excised specimens were placed in a container filled with saline and one radiologist scanned the surgically excised specimens using a high-frequency linear transducer. We evaluated successful lesion removal and the qualities of the immersion-US images. Miss rates were determined by the use of postoperative ultrasound during follow-up.RESULTS:
All 72 lesions were identified by the use of immersion-US and satisfactory or excellent quality images were obtained for most lesions (70/72, 97%). Five (7%) lesions were initially identified as incompletely excised, based on the immersion-US findings, and prompt re-excision was undertaken. Follow-up ultrasound examinations showed no residual mass in the surgical field in any patient.CONCLUSION:
The immersion-US technique was found straightforward and efficient to perform. Immersion-US was able to determine whether nonpalpable breast lesions had been successfully excised after ultrasound-guided needle localization.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Biopsy, Needle
/
Breast Neoplasms
/
Mammography
/
Prospective Studies
/
Ultrasonography, Mammary
/
Ultrasonography
/
Immersion
/
Mastectomy
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Korean Journal of Radiology
Year:
2008
Type:
Article
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