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| New Metallic Marker Used after Mammotome Biopsy for the Localization of Breast Lesions : Initial Experience |
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| Sun Mi Kim M.D.*,**, Jeong Mi Park, M.D.*, Sang Hyun Lee, M.D.**,Heon Han, MD.**, Ho-Young Song, M.D.*, Ji Hoon Shin, M.D.*,Tae-Hyung Kim,*, Gyungyub Gong, M.D.***, Hyun Jung Kim, M.D***,Kyung Rae Kim, M.D.****, Jae Won Kim, M.D.*, Hak Hee Kim, M.D.*,Hoi Soo Yoon, M |
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| *Department of Radiology, Asan Medial Center, University of Ulsan College of Medicine, **Department of Radiology, Kangwon National University College of Medicine, *** Department of Pathology, Asan Medial Center, University of Ulsan College of Medicine, ** |
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| PURPOSE : To determine the usefulness and complications of a newly made metallic tissue marker inserted after
mammotome biopsy of breast lesions.
MATERIALS and METHODS : We manufactured a new gold tissue marker and introducer for the insertion after ultrasound-
guided mammotome biopsy for breast lesions. The new tissue marker was inserted to 7 dogs and 22 patients.
Histopathologic findings were evaluated in all dogs and patients with malignant diseases who underwent
surgery. Follow-up mammography and ultrasonography were performed in patients with benign diseases 6
months after the biopsy for the evaluation of complications including migration.
RESULTS : In dogs, there was no foreign body reaction in 3 dogs, mild foreign body reactions in 3 dogs, and moderate
foreign body reactions in one dog.
Meanwhile, the marker was successfully inserted in 17 (77.3%) of 22 patients under ultrasonography-guidance.
There were mild foreign body reactions in 4 patients with malignant diseases. On one month follow-up mammography
and ultrasonography in 12 of 13 patients with benign diseases with the successful marker insertion
showed hematoma with the size ranging from 8 to 23 mm in 8 patients (66.7%). Rotation of the marker without
any change of location was seen in 4 patients while rotation with the changed location, about 1cm in distance,
was seen in 1 patient. On six month follow-up ultrasongraphy performed in 9 patients showed the disappearance
of all hematomas. There was no change of the marker’s location on mammography compared to the one-month
follow-up mammography. Pain or inflammatory reaction was not noted in any patient.
CONCLUSION : This new gold post-mammotome tissue marker showed mild foreign body reaction and no significant
complication including migration. It will be very useful in routine practice of mammotome for breast lesions. |
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| Keyword : Breast, biopsy, Breast neoplasms, localization, Breast, US, Biopsies, technology, Biopsies, complications |
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pdf파일 : 223-232 김선미.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2003 ; 22 (4) : p.223-232
