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Breast lesions with imaging-histologic discordandce during US-guided 14G automated cord biopsy: can the directionalvacuum-assisted removel replace the surgical excision? Initial findings

 Min Jung Kim  ;  Eun-Kyung Kim  ;  Ki Keun Oh  ;  Haeryoung Kim  ;  Seung-Il Kim  ;  Byeong-Woo Park  ;  Ji Hyun Youk  ;  Ji Young Lee 
 EUROPEAN RADIOLOGY, Vol.17(9) : 2376-2383, 2007 
Journal Title
Issue Date
Adult ; Biopsy, Needle/methods* ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology* ; Female ; Humans ; Middle Aged ; Predictive Value of Tests ; Prospective Studies ; Ultrasonography, Interventional* ; Ultrasonography, Mammary* ; Vacuum
The purpose of this study was to determine the frequency of carcinoma at percutaneous directional vacuum-assisted removal (DVAR) in women with imaging-histologic discordance during ultrasound (US)-guided automated core needle biopsy, and to determine the role of DVAR in breast lesions with imaging-histologic discordance. A US-guided 14-gauge automated core needle biopsy was performed on 837 consecutive lesions. Imaging-histologic discordance was prospectively considered in 33 of 634 benign biopsies. DVAR was recommended in those lesions. Among the 33 lesions, 26 lesions that underwent subsequent DVAR or surgical excision made up our study population. Medical records, imaging studies, and histologic findings were reviewed. Among the 26 lesions, 18 lesions underwent subsequent US–guided DVAR, with 8-gauge probes for 15 of the lesions, and 11-gauge for three of the lesions. Two lesions were diagnosed as having carcinoma (2/18, 11.1% of upgrade rate; 3.1–32.8% CI). The remaining eight lesions underwent subsequent surgical excision, and carcinoma was diagnosed in one case (12.5% of upgrade rate; 2.2–47.1% CI). A US-guided DVAR of the breast mass with imaging-histologic discordance during US-guided 14-gauge automated core needle biopsy is a valuable alternative to surgery as a means of obtaining a definitive histological diagnosis.
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1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
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
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
Kim, Hae Ryoung(김혜령)
Park, Byeong Woo(박병우) ORCID logo https://orcid.org/0000-0003-1353-2607
Oh, Ki Keun(오기근)
Youk, Ji Hyun(육지현) ORCID logo https://orcid.org/0000-0002-7787-780X
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