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Ultrasonic specimen radiography for non-palpable breast lesions
P Vujovic1, T Gianduzzo, C Archibald
1Princess Alexandra Hospital, University of Queensland, Department of Surgery, Brisbane, QLD, Australia.
Breast (Edinburgh, Scotland)
|February 18, 2004
Summary
Specimen ultrasound is a reliable method for confirming lesion excision during ultrasound-guided breast biopsies, especially for dense breast tissue. This technique aids in ensuring complete removal of impalpable lesions.
Area of Science:
- Radiology
- Oncology
- Surgical Pathology
Background:
- Ultrasound-guided breast biopsies are crucial for diagnosing impalpable lesions.
- Confirming complete excision of non-palpable breast lesions can be challenging.
- Specimen radiography is a standard method for post-excision verification.
Purpose of the Study:
- To evaluate the utility and reliability of specimen ultrasound in confirming complete excision of breast lesions.
- To compare the effectiveness of specimen ultrasound versus specimen radiography.
Main Methods:
- Retrospective review of 55 ultrasound-guided breast excisional biopsies performed between 1998-1999.
- Analysis of specimen ultrasound and specimen radiography use for verifying lesion excision.
- Assessment of cases where radiographic abnormalities were identified.
Main Results:
- Specimen ultrasound confirmed excision in 38% of cases, while specimen radiography was used in 62%.
- Radiographic abnormalities were detected solely by ultrasound in 10.9% of cases.
- Specimen sonography proved to be a reliable technique for confirming complete excision.
Conclusions:
- Real-time specimen sonography is a valuable adjunct to ultrasound-guided excisional biopsies.
- The technique is easily performed with minimal delay in radiology or operative suites.
- Specimen ultrasound is particularly useful for lesions in dense breast parenchyma and younger women.