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Sonographically guided percutaneous excision of clinically benign breast masses

✍ Scribed by Zhi Li Wang; Gang Liu; Jun Lai Li; Qian Ding; Li Su; Jie Tang; Lin Ma


Book ID
102332844
Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
153 KB
Volume
39
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

Purpose.

To report our experience with a vacuum‐assisted biopsy device system in percutaneous excision of clinically benign breast masses under sonographic guidance.

Methods.

Percutaneous removal of 79 masses in 58 patients was performed with a vacuum‐assisted biopsy device under sonographic guidance from April 2008 to September 2008. The lesions were category 3 lesions on sonogram, according to Breast Imaging Reporting and Data System (n = 74), or had been confirmed as benign by a previous core needle biopsy (n = 5).

Results.

All procedures were technically successful. Confirmed as benign were 98.7% (78/79) lesions on pathology after resection, and 93.7% (74/79) lesions were excised completely as demonstrated by follow‐up sonographic examination. The duration of the procedure ranged from 2 to 19 minutes (mean Β± SD, 9.6 Β± 9.3).

Conclusions.

Percutaneous excision using a vacuum‐assisted biopsy device is an alternative to surgical excision of benign breast masses. Β© 2010 Wiley Periodicals, Inc. J Clin Ultrasound, 2011.


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Granular cell tumor is a rare, benign breast neoplasm that may mimic malignancy both clinically and radiologically. We present 2 cases in which granular cell tumor was initially diagnosed by sonographically guided percutaneous biopsies. Sonographic guidance confirmed needle placement during multiple