지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 16 - 22 (7page)
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초록· 키워드
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Purpose: Ultrasonography plays a supplementary role in detecting breast microcalcifications as localizing these microcalcifications without mammographic aid is not always successful. This study aimed to evaluate the clinical implications of intraoperative sonography (IOUSG) in localized excisions after mammographically guided wire insertion. Methods: Between May 2011 and December 2017, 90 localized excisional biopsies were included. All excisions were preceded by mammographically guided wire insertion. We divided them into two groups according to the use of IOUSG and compared the surgical outcomes between the two groups. Results: Of the 90 localized excisions analyzed, IOUSG was performed in 40 (the USG group) localized excisions and not in the remaining 50 (the no USG group) localized excisions. The median cluster size of the target microcalcifications and the median specimen volume were smaller in the USG group than that in the no USG group (1.4 cm vs. 2.0 cm, p=0.02; 10.9 cm³ vs. 30.3 cm³, p<0.001, respectively). Additional excisions due to the incomplete coverage of the target microcalcifications on the specimen mammography were more frequent in the no USG group than in the USG group (30% vs. 15%, respectively, p<0.001). In the multivariate analyses, performing an IOUSG was the only significant risk factor, reducing the need for additional excision after adjusting the other risk factors (adjusted hazard ratio, 0.203; 95% confidence interval, 0.078–0.529). Performing an IOUSG significantly reduced the specimen volume excised after adjusting the cluster size of the microcalcifications. Conclusion: IOUSG could be helpful in improving the accuracy of surgical excision for breast microcalcifications localized with mammographically guided wire insertion.
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등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Dershaw DD / 1989 / Ductal carcinoma in situ : mammographic findings and clinical implications / Radiology 170:411~415
Stomper PC / 1989 / Clinically occult ductal carcinoma in situ detected with mammography : analysis of 100 cases with radiologic-pathologic correlation / Radiology 172:235~241
Holland R / 1990 / Extent, distribution, and mammographic/histological correlations of breast ductal carcinoma in situ / Lancet 335:519~522
Jackman RJ / 2003 / Stereotactic histologic biopsy with patients prone: technical feasibility in 98% of mammographically detected lesions / AJR Am J Roentgenol 180:785~794
Huang ML / 2014 / Stereotactic breast biopsy: pitfalls and pearls / Tech Vasc Interv Radiol 17:32~39
Stomper PC / 1989 / Clinically occult ductal carcinoma in situ detected with mammography : analysis of 100 cases with radiologic-pathologic correlation / Radiology 172:235~241
Holland R / 1990 / Extent, distribution, and mammographic/histological correlations of breast ductal carcinoma in situ / Lancet 335:519~522
Jackman RJ / 2003 / Stereotactic histologic biopsy with patients prone: technical feasibility in 98% of mammographically detected lesions / AJR Am J Roentgenol 180:785~794
Huang ML / 2014 / Stereotactic breast biopsy: pitfalls and pearls / Tech Vasc Interv Radiol 17:32~39
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