OBJECTIVE: Ultrasound-guided needle localization has been used prior to the surgical excision of nonpalpable breast lesions. The aim of the study was to assess the feasibility of the use of a saline immersion specimen ultrasound technique (immersion-US) to confirm the successful removal of breast lesions. MATERIALS AND METHODS: The devised immersion-US technique was used to examine the excised tissues of 72 ultrasound-guided needle localized breast lesions of 58 patients (34 benign lesions, 30 high-risk lesions and 8 malignant lesions). Freshly excised specimens were placed in a container filled with saline and one radiologist scanned the surgically excised specimens using a high-frequency linear transducer. We evaluated successful lesion removal and the qualities of the immersion-US images. Miss rates were determined by the use of postoperative ultrasound during follow-up. RESULTS: All 72 lesions were identified by the use of immersion-US and satisfactory or excellent quality images were obtained for most lesions (70/72, 97%). Five (7%) lesions were initially identified as incompletely excised, based on the immersion-US findings, and prompt re-excision was undertaken. Follow-up ultrasound examinations showed no residual mass in the surgical field in any patient. CONCLUSION: The immersion-US technique was found straightforward and efficient to perform. Immersion-US was able to determine whether nonpalpable breast lesions had been successfully excised after ultrasound-guided needle localization.
OBJECTIVE: Ultrasound-guided needle localization has been used prior to the surgical excision of nonpalpable breast lesions. The aim of the study was to assess the feasibility of the use of a saline immersion specimen ultrasound technique (immersion-US) to confirm the successful removal of breast lesions. MATERIALS AND METHODS: The devised immersion-US technique was used to examine the excised tissues of 72 ultrasound-guided needle localized breast lesions of 58 patients (34 benign lesions, 30 high-risk lesions and 8 malignant lesions). Freshly excised specimens were placed in a container filled with saline and one radiologist scanned the surgically excised specimens using a high-frequency linear transducer. We evaluated successful lesion removal and the qualities of the immersion-US images. Miss rates were determined by the use of postoperative ultrasound during follow-up. RESULTS: All 72 lesions were identified by the use of immersion-US and satisfactory or excellent quality images were obtained for most lesions (70/72, 97%). Five (7%) lesions were initially identified as incompletely excised, based on the immersion-US findings, and prompt re-excision was undertaken. Follow-up ultrasound examinations showed no residual mass in the surgical field in any patient. CONCLUSION: The immersion-US technique was found straightforward and efficient to perform. Immersion-US was able to determine whether nonpalpable breast lesions had been successfully excised after ultrasound-guided needle localization.
Authors: R I Feld; A L Rosenberg; L N Nazarian; L Needleman; A S Lev-Toaff; S R Segal; P T Johnson; L Parker; T O'Reilly Journal: J Ultrasound Med Date: 2001-09 Impact factor: 2.153
Authors: M J Silverstein; M D Lagios; S Groshen; J R Waisman; B S Lewinsky; S Martino; P Gamagami; W J Colburn Journal: N Engl J Med Date: 1999-05-13 Impact factor: 91.245
Authors: Benoît Mesurolle; Mona El-Khoury; David Hori; Jean-Pierre Phancao; Salah Kary; Ellen Kao; David Fleiszer Journal: AJR Am J Roentgenol Date: 2006-04 Impact factor: 3.959
Authors: Guillermo Carbonell; Juan de Dios Berná-Serna; Lidia Oltra; Carlos M Martínez; Nuria Garcia-Carrillo; Florentina Guzmán-Aroca; Francisco Javier Salazar; José Tudela; Juan de Dios Berná-Mestre Journal: PLoS One Date: 2019-05-23 Impact factor: 3.240