RT Journal Article
SR Electronic
T1 Evaluation of Ultrasound-guided 8-Gauge Vacuum-assisted Excision System for the Removal of US-detectable Breast Lesions
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 1719
OP 1729
DO 10.21873/anticanres.14125
VO 40
IS 3
A1 TOMMASO PERRETTA
A1 FELICIANA LAMACCHIA
A1 DONATELLA FERRARI
A1 EMANUELA BENINATI
A1 FEDERICA DI TOSTO
A1 VINCENZO DE STASIO
A1 ROSARIA MEUCCI
A1 CARLA DI STEFANO
A1 ORESTE CLAUDIO BUONOMO
A1 GIANLUCA VANNI
A1 CHIARA ADRIANA PISTOLESE
YR 2020
UL http://ar.iiarjournals.org/content/40/3/1719.abstract
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.