Does Ultrasound-Guided Directional Vacuum-Assisted Removal Help Eliminate Abnormal Nipple Discharge in Patients with Benign Intraductal Single Mass?.
10.3348/kjr.2009.10.6.575
- Author:
Jung Min CHANG
1
;
Nariya CHO
;
Woo Kyung MOON
;
Jeong Seon PARK
;
Se Yeong CHUNG
;
Mijung JANG
Author Information
1. Department of Radiology and Clinical Research Institute, Seoul National University Hospital and the Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul 110-744, Korea. nariya@radiol.snu.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Nipple discharge;
Intraductal papilloma;
Ultrasound guided;
Vacuum-assisted device
- MeSH:
Adult;
Biopsy/*methods;
Breast Neoplasms/pathology/*ultrasonography;
Chi-Square Distribution;
Exudates and Transudates/*ultrasonography;
Female;
Humans;
Mammography;
Middle Aged;
Nipples/pathology/*ultrasonography;
Papilloma, Intraductal/pathology/*ultrasonography;
Retrospective Studies;
*Ultrasonography, Interventional;
*Ultrasonography, Mammary;
Vacuum
- From:Korean Journal of Radiology
2009;10(6):575-580
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate whether the removal of an intraductal mass using an ultrasound (US)-guided directional vacuum-assisted device can eliminate symptoms in patients presenting with abnormal nipple discharge. MATERIALS AND METHODS: Between March 2004 and October 2006, 36 patients who presented with abnormal nipple discharge, underwent US-guided, 11-gauge vacuum-assisted biopsy for a benign intraductal single mass on US. The ability of the procedure to eliminate nipple discharge was evaluated by physical examination during follow-up US. Lesion characteristics, biopsy variables, and histologic features were analyzed to identify factors affecting symptom resolution. RESULTS: Of the 36 lesions, 25 (69%) were intraductal papillomas, 10 (28%) were fibrocystic changes, and one (3%) was a fibroadenoma. The nipple discharge disappeared in 69% (25 of 36) of the women at a mean follow-up time of 25 months (range 12-42 month). There was no difference in the lesion characteristics, biopsy variables, and the histologic features between groups that eliminated the symptom compared those with persistent nipple discharge. CONCLUSION: US-guided directional vacuum-assisted removal of an intraductal mass appears to eliminate nipple discharge in only 69% of patients and thus, it should not be considered as an alternative to surgical excision.
