Immersion ultrasonography of excised nonpalpable breast lesion specimens after ultrasound-guided needle localization

Yeol Lee Ki, Kyoung Seo Bo, Ann Yi, Bo Kyung Je, Ran Cho Kyu, Hee Woo Ok, Young Kim Mi, Hoon Cha Sang, Young Sik Kim, Soo Son Gil, Soo Kim Young

Research output: Contribution to journalArticle

8 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)312-319
Number of pages8
JournalKorean journal of radiology
Volume9
Issue number4
DOIs
Publication statusPublished - 2008 Aug

Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'Immersion ultrasonography of excised nonpalpable breast lesion specimens after ultrasound-guided needle localization'. Together they form a unique fingerprint.

  • Cite this

    Ki, Y. L., Bo, K. S., Yi, A., Je, B. K., Kyu, R. C., Ok, H. W., Mi, Y. K., Sang, H. C., Kim, Y. S., Gil, S. S., & Young, S. K. (2008). Immersion ultrasonography of excised nonpalpable breast lesion specimens after ultrasound-guided needle localization. Korean journal of radiology, 9(4), 312-319. https://doi.org/10.3348/kjr.2008.9.4.312