초음파 유도 Mammotome을 이용한 경피적 유방 조직검사의 유용성
Usefulness of Ultrasound Guided Vacuum-Assisted Mammotome Biopsy for Breast Lesion
김도일, 이병찬, 유재경, 장소용, 박소영, 김희정, 김루시아, 윤세옥,
소속 상세정보
김도일 ( Kim Do-Yil )
강서미즈메디병원 유방센터 외과
이병찬 ( Lee Byong-Chan )
강서미즈메디병원 유방센터 외과
유재경 ( Ryu Jae-Kyung )
강서미즈메디병원 유방센터 방사선과
장소용 ( Jang So-Yong )
강서미즈메디병원 유방센터 방사선과
박소영 ( Park So-Young )
강서미즈메디병원 유방센터 해부병리과
김희정 ( Kim Hee-Jung )
강서미즈메디병원 유방센터 해부병리과
김루시아 ( Kim Lucia )
강서미즈메디병원 유방센터 해부병리과
윤세옥 ( Yoon Sei-Ok )
강서미즈메디병원 유방센터 외과
KMID : 0371320030640020109
Abstract
Purpose: The purpose of this study was to determine the accuracy of ultrasound guided vacuum-assisted Mammotome biopsy (UVAMB) for breast lesions.
Methods: Percutaneous biopsies of 564 breast lesions, in 489 patients, using UVAMB were performed between October 2000 and May 2002. The pathological findings of the UVAMB were compared with excisional biopsies, sonographic follow-ups and clinical follow-up findings. We evaluated the complication on immediate post-biopsy and 1 week later using ultrasound.
Results: Of the 564 lesions, 108 (19.1%) were diagnosed as malignant by UVAMB, and of 456 benign lesions, 63 were excised. On excision two of the benign lesions were found to be carcinomas. The false negative rate of the UVAMB was 2.7%, and 99 (17.5%) of the 564 biopsies were revealed as hematomas by ultrasound 1 week later. However, almost all of complications were well controlled by conservative management.
Conclusion: Ultrasound guided vacuum-assisted Mammotome biopsies reduced the possibility of false-negatives and underestimated the disease. The complications of UVAMB were not serious, was proved to be a good biopsy method for small, non-palpable breast lesions.
키워드
유방종양;진단;경피적 유방 조직검사;초음파 유도 맘모톰 생검
Breast mass;Diagnosis;Percutaneous breast biopsy;Ultrasound guided vacuum-assisted mammotome biopsy
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