Immersion Ultrasonography of Excised Nonpalpable Breast Lesion Specimens after Ultrasound-Guided Needle Localization.
- Author:
Ki Yeol LEE
1
;
Bo Kyoung SEO
;
Ann YI
;
Bo Kyung JE
;
Kyu Ran CHO
;
Ok Hee WOO
;
Mi Young KIM
;
Sang Hoon CHA
;
Young Sik KIM
;
Gil Soo SON
;
Young Soo KIM
Author Information
- Publication Type:Original Article
- Keywords: Breast; Breast neoplasms; Specimen handling; Ultrasound (US)
- MeSH: Adult; Biopsy, Needle/methods; Breast Neoplasms/*ultrasonography; Female; Humans; Immersion; Mammography; Mastectomy; Middle Aged; Prospective Studies; Ultrasonography/*methods; Ultrasonography, Mammary/methods
- From:Korean Journal of Radiology 2008;9(4):312-319
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: Ultrasound-guided needle localization has been used prior to the surgical excision of nonpalpable breast lesions. The aim of the study was to assess the feasibility of the use of a saline immersion specimen ultrasound technique (immersion-US) to confirm the successful removal of breast lesions. MATERIALS AND METHODS: The devised immersion-US technique was used to examine the excised tissues of 72 ultrasound-guided needle localized breast lesions of 58 patients (34 benign lesions, 30 high-risk lesions and 8 malignant lesions). Freshly excised specimens were placed in a container filled with saline and one radiologist scanned the surgically excised specimens using a high-frequency linear transducer. We evaluated successful lesion removal and the qualities of the immersion-US images. Miss rates were determined by the use of postoperative ultrasound during follow-up. RESULTS: All 72 lesions were identified by the use of immersion-US and satisfactory or excellent quality images were obtained for most lesions (70/72, 97%). Five (7%) lesions were initially identified as incompletely excised, based on the immersion-US findings, and prompt re-excision was undertaken. Follow-up ultrasound examinations showed no residual mass in the surgical field in any patient. CONCLUSION: The immersion-US technique was found straightforward and efficient to perform. Immersion-US was able to determine whether nonpalpable breast lesions had been successfully excised after ultrasound-guided needle localization.
