Ultrasound-guided vacuum-assisted breast biopsy in the diagnosis of cancer recurrence at the surgical scar: a report of three cases

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Laila Abu Tahoun, B. Maraqa
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引用次数: 0

Abstract

Abstract Aim of the study Ultrasound-guided vacuum-assisted biopsy is being increasingly used in the diagnosis of breast lesions. The advantages of vacuum-assisted biopsy over core needle biopsy include large sample and higher diagnostic accuracy. Indications for ultrasound-guided vacuum-assisted biopsy include suspicious calcifications visible on ultrasound, architectural distortion, and very subtle or insinuating lesions. Case description We present three patients treated for breast cancer with breast-conserving surgery who developed suspicious findings on mammogram and MRI at or near the surgical scar. The findings were subtle, small, or atypical lesions on ultrasound. Ultrasound-guided vacuum-assisted biopsy was performed, and recurrence was diagnosed. The technique was advantageous due to real-time imaging, ability to control the path of the needle, obtaining multiple cores with a single skin puncture and single pass, supine position, no radiation, and no IV contrast. Conclusions Ultrasound-guided vacuum-assisted biopsy should be considered in cases involving multiple suspicious findings at or near the surgical scar, with subtle or atypical sonographic correlates. Vacuum-assisted biopsy is indicated; yet ultrasound guidance is more comfortable, no radiation and no contrast.
超声引导下真空辅助乳腺活检在手术疤痕处肿瘤复发诊断中的应用:附3例报告
超声引导下的真空辅助活检越来越多地应用于乳腺病变的诊断。与芯针活检相比,真空辅助活检的优点是样本量大,诊断准确性高。超声引导下的真空辅助活检适应症包括超声可见的可疑钙化、结构扭曲和非常微妙或暗示的病变。病例描述:我们报告三例接受保乳手术治疗的乳腺癌患者,在手术疤痕处或附近的乳房x光检查和MRI检查中发现可疑的结果。超声检查结果为细微、小或非典型病变。超声引导下的真空辅助活检,诊断复发。该技术的优势在于实时成像,能够控制针头路径,单次皮肤穿刺和单次通过即可获得多个核心,仰卧位,无辐射,无需静脉造影剂。结论超声引导下的真空辅助活检在手术瘢痕处或附近有多发可疑病灶,且超声表现不明显或不典型。需要进行真空辅助活检;然而超声波引导更舒适,没有辐射,也没有对比。
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来源期刊
Journal of Ultrasonography
Journal of Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.30
自引率
0.00%
发文量
58
审稿时长
20 weeks
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