Korean J Radiol.  2008 Aug;9(4):312-319. 10.3348/kjr.2008.9.4.312.

Immersion Ultrasonography of Excised Nonpalpable Breast Lesion Specimens after Ultrasound-Guided Needle Localization

Affiliations
  • 1Department of Radiology, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Korea. seoboky@korea.ac.kr
  • 2Department of Radiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
  • 3Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
  • 4Department of Pathology, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Korea.
  • 5Department of General Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Korea.

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.

Keyword

Breast; Breast neoplasms; Specimen handling; Ultrasound (US)

MeSH Terms

Adult
Biopsy, Needle/methods
Breast Neoplasms/*ultrasonography
Female
Humans
Immersion
Mammography
Mastectomy
Middle Aged
Prospective Studies
Ultrasonography/*methods
Ultrasonography, Mammary/methods
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