J Korean Soc Menopause.  2013 Apr;19(1):9-17. 10.6118/jksm.2013.19.1.9.

The Clinical Experience of an Ultrasound-guided Vacuum-assisted Resection (Mammotome) for Benign Breast Lesions through a Core Needle Biopsy

Affiliations
  • 1Department of Obstetrics and Gynecology, Hwa-Myeong Il-Sin Christian Hospital, Yangsan, Korea.
  • 2Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Yangsan, Korea. ohchoi@pusan.ac.kr

Abstract


OBJECTIVES
This study was performed to consider the clinical experience of an ultrasound-guided vacuum-assisted resection (Mammotome) for benign breast lesions through a core needle biopsy.
METHODS
The authors carried out a core needle biopsy and Mammotome for 347 patients and investigated the pathologic results.
RESULTS
The significant difference of core needle biopsy and Mammotome results was demonstrated, Spearman correlation coefficient is 0.413 in a correlation analysis.
CONCLUSION
This experience suggest Mammotome is a useful procedure for providing more correct pathologic findings through complete resection of benign breast lesions.

Keyword

Biopsy needle; Breast diseases; Breast neoplasms; Mammography; Mammotome

MeSH Terms

Biopsy, Large-Core Needle
Breast
Breast Diseases
Breast Neoplasms
Humans
Mammography
Needles

Figure

  • Fig. 1 Core needle biopy procedure, This sonogram of breast shows the core needle penestrating the central portion of the breast mass avoiding vessels via color doppler.

  • Fig. 2 Mammotome breast mass resection procedure. This each sonogram of Mammotome procedure show each step sequentially.

  • Fig. 3 The comparison between core needl biopsy (CNB) result vs Mammotome result

  • Fig. 4 The distribution between core needle biopsy results vs Mammotome results. # Spearman rank correlation coefficient: 0.413 1. Fibrocystic change, 2. Fibrocystic change/c epithelial hyperplasia, 3. Fibrocystic change/c florid epithelial hyperplasia, 4. Fibrocystic change/c apocrine metaplasia, 5. Fibroadenoma, 6. Fibroadenomatoid hyperplasia, 7. Papillary tumor, 8. Atypical epithelial hyperplasia, 9. Atypical papilloma, 10. Intraductal papilloma, 11. Phyllodes tumor.


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