유방의 유두종 환자에서 초음파 유도하 맘모톰흡입생검의 유용성 및 안전성
Feasibility and Safety of Ultrasound-Guided Vacuum-Assisted Breast Biopsy System for Intraductal Papilloma
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Purpose: We aimed to evaluate the feasibility and safety of ultrasound-guided vacuum-assisted breast biopsy system for the treatment of intraductal papilloma (IDP). A vacuum-assisted breast biopsy system mammotome® was recently introduced for simultaneous biopsy and excision of benign breast masses. Mammotome excision has the advantages of safety and less scar formation compared to open biopsy. Wide excision is a standard treatment for IDP of the breast. Methods: We retrospectively reviewed the clinical data by using the electric medical records of 752 cases of breast masses that were treated via Mammotome excision performed by a single surgeon between January 2007 and December 2012. Among these patients, 26 patients were diagnosed with benign IDP as indicated in the final pathologic reports. Results: The median follow-up period was 56.2 months (range, 29–92 months). Two patients were diagnosed with another IDP during the follow-up period. However, no recurrence was detected at the previous excision site, but new primary lesions were confirmed at another quadrant. Conclusion: We suggest that ultrasound-guided vacuum-assisted breast biopsy system may be feasible and safe for the treatment of IDP.
Abstract
Purpose: We aimed to evaluate the feasibility and safety of ultrasound-guided vacuum-assisted breast biopsy system for the treatment of intraductal papilloma (IDP). A vacuum-assisted breast biopsy system mammotome® was recently introduced for simultaneous biopsy and excision of benign breast masses. Mammotome excision has the advantages of safety and less scar formation compared to open biopsy. Wide excision is a standard treatment for IDP of the breast. Methods: We retrospectively reviewed the clinical data by using the electric medical records of 752 cases of breast masses that were treated via Mammotome excision performed by a single surgeon between January 2007 and December 2012. Among these patients, 26 patients were diagnosed with benign IDP as indicated in the final pathologic reports. Results: The median follow-up period was 56.2 months (range, 29–92 months). Two patients were diagnosed with another IDP during the follow-up period. However, no recurrence was detected at the previous excision site, but new primary lesions were confirmed at another quadrant. Conclusion: We suggest that ultrasound-guided vacuum-assisted breast biopsy system may be feasible and safe for the treatment of IDP.
참고문헌 (17)
- Mendelson EB, "ACR BI-RADS Breast Imaging and Reporting Data System: Breast Imaging Atlas" (2003), American College of Radiology
- Cilotti A, "Solitary intraductal papilloma of the breast: an echographic study of 12 cases", Radiol Med, 82, pp.617~620 (1991)
- Mercado CL, "Papillary lesions of the breast at percutaneous core-needle biopsy", Radiology, 238, pp.801~808 (2006)
- Fine RE, "A prospective study of the removal rate of imaged breast lesions by an 11-gauge vacuum-assisted biopsy probe system", Am J Surg, 182, pp.335~340 (2001)
- Youk JH, "Missed breast cancers at US-guided core needle biopsy: how to reduce them", Radiographics, 27, pp.79~94 (2007)
- Page DL, "Subsequent breast carcinoma risk after biopsy with atypia in a breast papilloma", Cancer, 78, pp.258~266 (1996)
- Shin HJ, "Papillary lesions of the breast diagnosed at percutaneous sonographically guided biopsy: comparison of sonographic features and biopsy methods", AJR Am J Roentgenol, 190, pp.630~636 (2008)
- Jacobs TW, "Nonmalignant lesions in breast core needle biopsies: to excise or not to excise?", Am J Surg Pathol, 26, pp.1095~1110 (2002)
- Nakano S, "Evaluation and indications of ultrasound-guided vacuum-assisted core needle breast biopsy", Breast Cancer, 14, pp.292~296 (2007)
- Sydnor MK, "Underestimation of the presence of breast carcinoma in papillary lesions initially diagnosed at core-needle biopsy", Radiology, 242, pp.58~62 (2007)
- Agoff SN, "Papillary lesions of the breast with and without atypical ductal hyperplasia: can we accurately predict benign behavior from core needle biopsy?", Am J Clin Pathol, 122, pp.440~443 (2004)
- Philpotts LE, "Uncommon high-risk lesions of the breast diagnosed at stereotactic core-needle biopsy: clinical importance", Radiology, 216, pp.831~837 (2000)
- 박해린, "맘모톰을 이용한 치료적 목적의 유방 양성 병변 절제술 1003예 보고", 대한외과학회지, 68(2), pp.96~101 (2005), 대한외과학회
- 박해린, "3 cm 이상의 양성 유방종괴에 대해서도 맘모톰 절제술이 가능한가?", 대한외과학회지, 70(1), pp.25~29 (2006), 대한외과학회
- Nakano S, "Evaluation and indications of ultrasound-guided vacuum-assisted core needle breast biopsy", Breast Cancer, 14, pp.292~296 (2007)
- Plantade R, "Ultrasound-guided vacuum-assisted biopsy: review of 382 cases", J Radiol, 86(9 Pt 1), pp.1003~1015 (2005)
- Heywang-Köbrunner SH, "Use of ultrasound-guided percutaneous vacuum-assisted breast biopsy for selected difficult indications", Breast J, 15, pp.348~356 (2009)
