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Breast lesions with imaging-histologic discordance during US-guided 14G automated core biopsy: can the directional vacuum-assisted removal replace the surgical excision? Initial findings

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An Erratum to this article was published on 20 October 2007

Abstract

The purpose of this study was to determine the frequency of carcinoma at percutaneous directional vacuum-assisted removal (DVAR) in women with imaging-histologic discordance during ultrasound (US)-guided automated core needle biopsy, and to determine the role of DVAR in breast lesions with imaging-histologic discordance. A US-guided 14-gauge automated core needle biopsy was performed on 837 consecutive lesions. Imaging-histologic discordance was prospectively considered in 33 of 634 benign biopsies. DVAR was recommended in those lesions. Among the 33 lesions, 26 lesions that underwent subsequent DVAR or surgical excision made up our study population. Medical records, imaging studies, and histologic findings were reviewed. Among the 26 lesions, 18 lesions underwent subsequent US–guided DVAR, with 8-gauge probes for 15 of the lesions, and 11-gauge for three of the lesions. Two lesions were diagnosed as having carcinoma (2/18, 11.1% of upgrade rate; 3.1–32.8% CI). The remaining eight lesions underwent subsequent surgical excision, and carcinoma was diagnosed in one case (12.5% of upgrade rate; 2.2–47.1% CI). A US-guided DVAR of the breast mass with imaging-histologic discordance during US-guided 14-gauge automated core needle biopsy is a valuable alternative to surgery as a means of obtaining a definitive histological diagnosis.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seodaemun-ku Shinchon-dong 134, Seoul, 120-752, South Korea

    Min Jung Kim, Eun-Kyung Kim, Ji Young Lee, Ji Hyun Youk & Ki Keun Oh

  2. Department of General Surgery, Yonsei University College of Medicine, Seodaemun-ku Shinchon-dong 134, Seoul, 120-752, South Korea

    Byeong-Woo Park & Seung-Il Kim

  3. Department of Pathology, Yonsei University College of Medicine, Seodaemun-ku Shinchon-dong 134, Seoul, 120-752, South Korea

    Haeryoung Kim

Authors
  1. Min Jung Kim
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  2. Eun-Kyung Kim
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  3. Ji Young Lee
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  4. Ji Hyun Youk
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  5. Byeong-Woo Park
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  6. Seung-Il Kim
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  7. Haeryoung Kim
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  8. Ki Keun Oh
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Correspondence to Eun-Kyung Kim.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s00330-007-0793-9

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Kim, M.J., Kim, EK., Lee, J.Y. et al. Breast lesions with imaging-histologic discordance during US-guided 14G automated core biopsy: can the directional vacuum-assisted removal replace the surgical excision? Initial findings. Eur Radiol 17, 2376–2383 (2007). https://doi.org/10.1007/s00330-007-0603-4

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  • DOI: https://doi.org/10.1007/s00330-007-0603-4

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