Abstract
Background
As intraductal papilloma (IP) includes both benign and malignant lesions, it is difficult to decide whether the patient should merely be followed up. The purpose of this study is to validate the ultrasound (US)-guided vacuum-assisted breast biopsy system (Mammotome) for diagnosis and minimally invasive excision of IP.
Methods
Six women with breast cystic-solid lesions without nipple discharge underwent B-US-guided 8-gauge Mammotome biopsy. Interval US surveillance was performed at a median time of 7 months (range 5–12 months).
Results
All lesions were removed accurately and thoroughly with satisfactory cosmetic outcomes. All of them were histologically diagnosed as IP. No clinically significant hematoma developed.
Conclusions
The US-guided 8-gauge Mammotome biopsy provides an accurate pathologic diagnosis and successful complete excision of cystic-solid breast lesions. This technique appears to be an alternative to surgical biopsy in IP patients without nipple discharge.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ganesan S, Karthik G, Joshi M et al (2006) Ultrasound spectrum in intraductal papillary neoplasms of breast. Br J Radiol 79:843–849
Shen KW, Wu J, Lu JS et al (2000) Fiberoptic ductoscopy for patients with nipple discharge. Cancer 89:1512–1519
Grunwald S, Heyer H, Paepke S et al (2007) Diagnostic value of ductoscopy in the diagnosis of nipple discharge and intraductal proliferations in comparison to standard methods. Onkologie 30:243–248
Zhang JG, Zhong L, Guo BL (2007) Diagnosis and treatment of carcinomatous change of breast intraductal papillomas: a report of 22 cases. Chin J Gen Surg 16:41–43
Burbank F, Parker SH, Fogarty TJ (1996) Stereotactic breast biopsy improved tissue harvesting with the Mammotome. Am Surg 62:738–744
Meloni GB, Dessole S, Becchere MP et al (2001) Ultrasound-guided mammotome vacuum biopsy for the diagnosis of impalpable breast lesions. Ultrasound Obstet Gynecol 18:520–524
Lai JT, Burrowes P, MacGregor JH et al (2000) Vacuum assisted large-core breast biopsy: complications and their incidence. Can Assoc Radiol J 51:232–236
Chen WM, Yang YM, Wang Y et al (2008) Characteristic imaging of ultrasound and its clinical value in diagnosis of breast intraduct papilloma. Chin Comput Med Imag 14:252–254
Povoski SP, Jimenez RE (2007) A comprehensive evaluation of the 8-gauge vacuum-assisted Mammotome(R) system for ultrasound-guided diagnostic biopsy and selective excision of breast lesions. World J Surg Oncol 30:83
Sneige N, Fornage BD, Seleh G (1994) Ultrasound guided fine-needle aspiration of nonpalpable breast lesions: cytologic and histologic findings. J Am J Clin Pathol 102:98
Hu W, Shi JY, Sheng Y et al (2008) The clinical application of ultrasound-guided Mammotome system in diagnosis and minimally invasive resection of nonpalpable breast lesion. Chin J Pract Surg 28(Suppl):8–9
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wei, H., Jiayi, F., Qinping, Z. et al. Ultrasound-Guided Vacuum-Assisted Breast Biopsy System for Diagnosis and Minimally Invasive Excision of Intraductal Papilloma Without Nipple Discharge. World J Surg 33, 2579–2581 (2009). https://doi.org/10.1007/s00268-009-0171-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00268-009-0171-7