The Value of Ultrasound-Guided Tattooing Localization of Nonpalpable Breast Lesions
Korean Journal of Radiology
;
: 295-301, 2007.
Article
in English
| WPRIM
| ID: wpr-211224
ABSTRACT
OBJECTIVE:
To investigate the value of ultrasound-guided tattooing localization (US-tattoo) using a charcoal suspension for breast lesions. MATERIALS ANDMETHODS:
One hundred sixty-four nonpalpable breast lesions in 134 patients (mean age 47 years; range 30-74 years) were marked with a charcoal suspension under US guidance. The medical records associated with the US-tattoo, the pathology results and the follow-up US results were reviewed.RESULTS:
The average size of the localized lesions was 1.0 cm. The procedure time was < 5 minutes (range, 2-10 minutes) per lesion. The US-tattoo was well tolerated in all cases. The only technical difficulty encountered was a needle tip blockage caused by a large charcoal particle (4.9%). The surgeon easily identified the tattoo with the exception one case. In addition, surgery could be safely delayed from one to 57 days after the making US-tattoo. The pathology result was benign in 108 cases, borderline in five, and malignant in 51. The excised specimen was < 4 cm in 76.6% (82/107) of the benign cases (mean; 2.7 cm). The pathologist could identify the mass around the tattoo and was able to make a specific diagnosis in 81.3% (87/107) of benign lesions. The only complication encountered was residual charcoal marking along the incision scar (3.6%). All follow-up US documented the removal of the lesions.CONCLUSION:
An US-tattoo for nonpalpable breast lesions is a very simple and accurate method that can help surgeons design and schedule an open biopsy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tattooing
/
Breast
/
Breast Neoplasms
/
Injections, Intralesional
/
Charcoal
/
Ultrasonography, Interventional
/
Biopsy, Fine-Needle
Type of study:
Practice guideline
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
Language:
English
Journal:
Korean Journal of Radiology
Year:
2007
Type:
Article
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