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| Efficacy of Ultrasound-guided Mammotome Biopsy for Complete Removal of Breast Lesion with Six-Months Follow-Up Ultrasound |
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| Hye Seong Kim, M.D Boo-Kyung Han, M.D., Yeon Hyeon Choe, M.D., Ji-Young Kim, M.D, Young-Hye Koh, M.D.*, Jung-Hyun Yang, M.D.**, Seok-Jin Nam, M.D.**, Jung-Han Kim, M.D.** |
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| Departments of Radiology, Center for Imaging Science, Sungkyunkwan University School of Medicine, Samsung Medical Center/*Department of Pathology/**Department of Surgery |
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| PURPOSE : To evaluate the usefulness of ultrasound-guided mammotome biopsy for complete removal of the imaged
abnormality through the assessment of success rate in 6-months follow-up ultrasound.
MATERIALS and METHODS : Over a 13-month period, one hundred seventy ultrasound-guided mammotome biopsies
were performed in 141 patients. In 143 ultrasonographically benign-appearing masses, complete removal was
attempted. Ultrasound (US) was then performed immediately following the procedure and 6 months after to assess
whether residual lesion was present or not. The success rate of removal of breast masses was evaluated on 6
months follow-up US. The relationships between the depth and size of breast lesions and the presence of residual
lesions was evaluated as well as the amount of hematoma.
RESULTS : The mean size of lesions was 1.0 cm (0.3-3.2 cm). 136 of 143 lesions were histologically benign while
the remaining seven lesions (4.9%) were histologically malignant or borderline lesion and were operated within
a month. 20 residual lesions except scar-like change were noted in 108 lesions on 6-months follow-up US. The
assessment for the presence of residual lesion was different in 10.1% between post-procedural and 6-months
follow-up US evaluations. The success rate of complete removal was 81.5% (88/108) on 6-months follow-up
US. The residual lesions were more frequently observed in case with a larger size lesion and the larger amount
of hematoma during the procedure (p < 0.01) while showing no correlation with the depth of lesions.
CONCLUSION : Complete removal of breast mass lesion on breast ultrasound using ultrasound-guided mammotome
biopsy is feasible but cannot be assured. The success depends on the size of lesions and the development of
hematoma. |
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| Keyword : Breast, disease / Breast, biopsy |
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pdf파일 : 11-17 김혜성.pdf 
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> Journal > Journal Search 
Journal of Korean Society of Ultrasound in Medicine 2004 ; 23 (1) : p.11-17
