超声引导 8 号空芯针负压旋切系统在切除 US 可探测乳腺病灶中的应用评估。

Evaluation of Ultrasound-guided 8-Gauge Vacuum-assisted Excision System for the Removal of US-detectable Breast Lesions.

机构信息

Diagnostic Imaging Unit, Policlinico Tor Vergata, Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy.

Diagnostic Imaging Unit, Policlinico Tor Vergata, Department of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy

出版信息

Anticancer Res. 2020 Mar;40(3):1719-1729. doi: 10.21873/anticanres.14125.

DOI:10.21873/anticanres.14125

PMID:32132080

Abstract

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.

摘要

目的

评估超声引导下真空辅助乳腺切除术（VAE）切除乳腺影像报告和数据系统（BI-RADS）≥3 级乳腺病变的能力，分析与完全切除最相关的超声特征。

材料与方法

对 266 个无微钙化的 BI-RADS≥3 级病变进行超声引导下 VAE。比较超声-VAE 和金标准病理结果。分析病变的超声特征。

结果

完全切除率为 93.61%；VAE 符合率为 99.62%。边界清晰、形状规则、平行取向和无后方特征是与完全切除相关的有利超声特征。完全切除的病变为：BI-RADS 3 级≤21.10mm 且有一个不利的超声特征，BI-RADS 4 级≤18.70mm 且有两个不利的超声特征，BI-RADS 4 级病变≤13.5mm 且有两个不利的超声特征。完全切除了两个不典型导管增生（<10mm，一个不利特征）和八个导管原位癌（≤8.7mm，一个/两个不利特征）。