PT  - JOURNAL ARTICLE
AU  - TOMMASO PERRETTA
AU  - FELICIANA LAMACCHIA
AU  - DONATELLA FERRARI
AU  - EMANUELA BENINATI
AU  - FEDERICA DI TOSTO
AU  - VINCENZO DE STASIO
AU  - ROSARIA MEUCCI
AU  - CARLA DI STEFANO
AU  - ORESTE CLAUDIO BUONOMO
AU  - GIANLUCA VANNI
AU  - CHIARA ADRIANA PISTOLESE
TI  - Evaluation of Ultrasound-guided 8-Gauge Vacuum-assisted Excision System for the Removal of US-detectable Breast Lesions
AID  - 10.21873/anticanres.14125
DP  - 2020 Mar 01
TA  - Anticancer Research
PG  - 1719--1729
VI  - 40
IP  - 3
4099  - http://ar.iiarjournals.org/content/40/3/1719.short
4100  - http://ar.iiarjournals.org/content/40/3/1719.full
SO  - Anticancer Res2020 Mar 01; 40
AB  - Aim: To assess the ability of ultrasound (US)-guided vacuum-assisted breast excision (VAE) to remove Breast Imaging Reporting and Data System (BI-RADS) ≥3 breast lesions in order to analyze US features most frequently associated with complete excision. Materials and Methods: A total of 266 BI-RADS ≥3 lesions without microcalcifications underwent US-VAE. US-VAE and gold standard pathological results were compared. US features of lesions were analyzed. Results: The complete excision rate was 93.61%; the VAE agreement rate was 99.62%. Circumscribed margins, regular shape, parallel orientation, and the absence of posterior features were favorable US features associated with complete excision. Lesions completely excised were: BI-RADS 3 ≤21.10 mm and BI-RADS 4 ≤18.70 mm with one unfavorable US characteristic, and BI-RADS 4 lesions ≤13.5 mm with two unfavorable US features hindered complete removal. Two atypical ductal hyperplasias (<10 mm, one unfavorable feature) and eight ductal carcinomas in situ (≤8.7 mm, one/two unfavorable features) were completely removed. Conclusion: US-VAE is highly accurate for diagnostic purpose and, in some cases, highly successful for complete lesion excision. This success also depends on the US characteristics and size of the lesion.