Ko Eun Young, Bae Young-A, Kim Min-Jeong, Lee Kwan Seop, Lee Yul, Kim Lee Su
Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Gangnam-Gu, Seoul, Korea.
J Ultrasound Med. 2008 Jan;27(1):65-73. doi: 10.7863/jum.2008.27.1.65.
This study was designed to evaluate the effectiveness of complete removal and factors affecting the presence of a residual mass and complications after ultrasound-guided vacuum-assisted percutaneous removal of benign breast lesions.
We retrospectively evaluated ultrasound images and medical records of 263 breast masses from 199 patients that were removed with an ultrasound-guided vacuum-assisted device. All lesions were assumed as benign on ultrasound imaging or had been confirmed as benign by a previous core needle biopsy. The influence of the size, distance from the nipple, number of lesions removed at a time, and pathologic diagnosis of all of the removed masses on the completeness of the removal and the presence of complications was analyzed. The Mann-Whitney U test was used in the statistical analysis.
The complete removal rate for ultrasound imaging immediately after the procedure was 95.8%, and the rate at more than 6 months for follow-up ultrasound imaging was 92.3%. Larger lesions, lesions closer to the nipple, and cases in which multiple lesions were removed at a time showed the presence of more residual lesions. Lesions closer to the nipple and cases in which multiple lesions were removed simultaneously developed more hematomas (P < .05).
Ultrasound-guided vacuum-assisted percutaneous excision showed high effectiveness for the removal of benign breast masses. However, more attention should be given to certain lesions to increase the efficacy.
本研究旨在评估超声引导下真空辅助经皮切除乳腺良性病变后完全切除的有效性以及影响残余肿块存在和并发症的因素。
我们回顾性评估了199例患者的263个乳腺肿块的超声图像和病历，这些肿块均通过超声引导下真空辅助设备切除。所有病变在超声成像上均被假定为良性，或先前经粗针活检已证实为良性。分析了所有切除肿块的大小、距乳头的距离、一次切除的病变数量以及病理诊断对切除完整性和并发症发生情况的影响。统计分析采用曼-惠特尼U检验。
术后即刻超声成像的完全切除率为95.8%，随访超声成像超过6个月时的完全切除率为92.3%。较大的病变、距乳头较近的病变以及一次切除多个病变的病例显示残余病变更多。距乳头较近的病变以及同时切除多个病变的病例发生血肿更多（P <.05）。
超声引导下真空辅助经皮切除对乳腺良性肿块的切除显示出高效性。然而，对于某些病变应给予更多关注以提高疗效。
