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Potential application of ultrasound-guided vacuum-assisted excision (US-VAE) for well-selected intraductal papillomas of the breast: single-institutional experiences

 Kyung Hee Ko  ;  Hye Kyoung Jung  ;  Ji Hyun Youk  ;  Kyung Po Lee 
 Annals of Surgical Oncology, Vol.19(3) : 908-913, 2012 
Journal Title
 Annals of Surgical Oncology 
Issue Date
Adult ; Biopsy, Needle* ; Breast Neoplasms/diagnosis ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery* ; Female ; Humans ; Middle Aged ; Minimally Invasive Surgical Procedures ; Papilloma, Intraductal/diagnosis ; Papilloma, Intraductal/diagnostic imaging ; Papilloma, Intraductal/pathology ; Papilloma, Intraductal/surgery* ; Ultrasonography, Interventional* ; Vacuum
BACKGROUND: The study objective was to evaluate our experiences of ultrasound-guided vacuum-assisted excision (US-VAE) of benign intraductal papillomas, and to discuss its potential application as a minimally invasive treatment METHODS: We reviewed the sonographic and histologic features of 29 benign intraductal papillomas removed by US-VAE. The procedure was recommended on the basis of our indications. For validation of selection criteria, the sonographic and pathologic characteristics of surgically excised 94 papillary lesions during the same period were also evaluated. RESULTS: The mean diameter of the lesions was 9.8 mm (range 5-15 mm). There was no mass that abutted the skin or pectoralis muscle and extended the branching ducts. All lesions were category 3 or category 4a. The pathologic diagnoses of all removed masses were benign. Local recurrence was observed in one patient. According to the validation study, papillary lesions less than 1.5 cm of category 3 or 4a were mostly reported to be benign (95.9%, 47 of 49). CONCLUSIONS: US-VAE may be a useful alternative to surgical excision in well-selected benign intraductal papillomas.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Youk, Ji Hyun(육지현) ORCID logo https://orcid.org/0000-0002-7787-780X
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