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Nonmalignant papillary lesions of the breast at US-guided directional vacuum-assisted removal: a preliminary report.

Authors
 Min Jung Kim  ;  Eun-Kyung Kim  ;  Jin Young Kwak  ;  Eun Ju Son  ;  Byeong-Woo Park  ;  Seung-Il Kim  ;  Ki Keun Oh 
Citation
 EUROPEAN RADIOLOGY, Vol.18(9) : 1774-1783, 2008 
Journal Title
 EUROPEAN RADIOLOGY 
ISSN
 0938-7994 
Issue Date
2008
MeSH
Adult ; Biopsy, Needle/methods* ; Breast Neoplasms/diagnostic imaging* ; Breast Neoplasms/pathology* ; Carcinoma, Papillary/diagnostic imaging* ; Carcinoma, Papillary/pathology* ; Female ; Humans ; Middle Aged ; Reproducibility of Results ; Retrospective Studies ; Sensitivity and Specificity ; Suction/methods* ; Ultrasonography, Interventional/methods* ; Ultrasonography, Mammary/methods* ; Vacuum
Keywords
Papillary lesion ; Ultrasound ; Breast biopsy ; Vacuum-assisted ; Breast neoplasm
Abstract
This study was conducted to assess the accuracy of US-guided directional vacuum-assisted removal (US-DVAR) in evaluating nonmalignant papillary breast lesions. This retrospective study was approved by the institutional review board at our institution; patient consent was not required. We reviewed the clinical and pathology findings from a total of 39 papillary lesions diagnosed at vacuum-assisted removal in 37 patients (age range, 26-60 years; mean age, 44.5 years). Over the follow-up period, we evaluated whether any histologic upgrade occurred and whether or not residual lesions were detected on follow-up imaging. US-DVAR of 39 lesions yielded tissue that was classified as benign in 35 and atypical in 4. Of the 35 lesions that were diagnosed as histologically benign at US-DVAR, 2 were surgically excised. Both of them yielded benign results. Of the 33 benign lesions that were not surgically excised, 28 (85%) were not seen at radiographic follow-up. Of the four lesions diagnosed as atypical at US-DVAR that were surgically excised, all the four were benign. None proved to be malignant. The upgrade rate was 0.0% (95% confidence interval, 0-9%). Among our patients, diagnosis by US-DVAR of benign papillary lesions proved to be accurate, and benign papillary lesions at US-DVAR did not need to be surgically excised for accurate diagnosis.
Full Text
http://link.springer.com/article/10.1007%2Fs00330-008-0960-7
DOI
10.1007/s00330-008-0960-7
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Jin Young(곽진영) ORCID logo https://orcid.org/0000-0002-6212-1495
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Seung Il(김승일)
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Park, Byeong Woo(박병우) ORCID logo https://orcid.org/0000-0003-1353-2607
Son, Eun Ju(손은주) ORCID logo https://orcid.org/0000-0002-7895-0335
Oh, Ki Keun(오기근)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106421
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