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 journalArticlepeer-review

    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

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