초음파 유도 맘모톰을 이용한 유방 양성 종양의 절제술
Minimally Invasive Excision of Benign Breast Tumor Using Ultrasound Guided Vacuum-Assisted Mammotome
김수형, 최진욱, 고은영, 이관섭, 민수기, 김인규, 양대현,
소속 상세정보
김수형 ( )
한림대학교 의과대학 외과
최진욱 ( )
한림대학교 의과대학 외과
고은영 ( )
한림대학교 의과대학 진단방사선과
이관섭 ( )
한림대학교 의과대학 진단방사선과
민수기 ( )
한림대학교 의과대학 병리과
김인규 ( )
한림대학교 의과대학 외과
양대현 ( )
한림대학교 의과대학 외과
KMID : 0371320030650040279
Abstract
Purpose : Current epidemiologic study indicates that the incidence of breast cancer has increased in Korea.
However, significamly more women will develop benign breast disease during their adult lives.
Even though benign breast disease is not life threatening, it can cause patient discomfort, anxiety, and fear.
This study evaluates the safety, efficacy, and patient acceptace of an ultrasound guided vacuum-assisted mammotome (UVAM) in percutaneous total removal of benign breast lesions.
Methods : From Aug. 2002 to Feb. 2003, 106 sonographi-cally berign breast lesions (up to 2.5 cm in size) of 86 patients underwent total removal under local anesthesia using 11-guage or 8-gauge UVAM needles. Ultrasonographic folloew-up evaluation was performed at 14 days post operation to assess the residual lesions and complications.
Results : UVAM allows total removal of benign breast lesions that are up to 2.5 cm in size and no residual lesions were found in follow-up breast sonogram for any of the patients.
Forty-one patients (47.7%) were younger than 40. The pathologists classified the majority of removed lesions as fibroadenoma (52.9%) or fibrocystic changes (34.9%). Most complications were mild or moderate. Among the complications such as hematona, pain, and skin dimpling, hematoma was most common and resolved spontaneously with-out additional intervention.
All of the patients were satisfied with this procedure.
Conclusion : Percutaneous excision of benign breast lesions using UVAM is feasible, safe, and yields high patient satisfaction.
Long-term efficacy is being evaluated in an ongoing study.(J Korea Surg Soc 2003;65:279-283)
키워드
양성유방병변;맘모톰;절제술;Benign breast lesion;Mammotome;Excision
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