Single-step ultrasound localization of breast lesions and lumpectomy procedure

Am J Surg. 2003 Oct;186(4):386-90. doi: 10.1016/s0002-9610(03)00277-0.

Abstract

Background: This review was made to evaluate whether the efficiencies of intraoperative ultrasound-guided localization could be extended to stereotactic biopsy cases by using a marker visible by sonography and mammography.

Methods: A retrospective review identified 170 stereotactic directional vacuum-assisted biopsy (DVAB) procedures marked with an ultrasound-visible marker. Localization device, imaging method, lesion retrieval, and margin status were assessed for patients having subsequent lumpectomy or wider excision.

Results: Nineteen of 170 patients underwent lumpectomies (12) or wider excision (7) localized by a radiofrequency device or 18G needle up to 7 weeks after stereotactic biopsy. In 15 of 19 procedures, an ultrasound-guided localization was performed intraoperatively, targeting the marker. All targeted lesions were successfully excised. In the 13 malignant lesions (of 19 surgeries), only 1 had a positive margin (8%).

Conclusions: Marking stereotactic biopsies with a sonographically visible marker allows ultrasound-guided intraoperative localization, improving efficiencies for the patient, surgeon, and operating room schedule.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biopsy / methods*
  • Breast Neoplasms / diagnostic imaging
  • Breast Neoplasms / pathology*
  • Breast Neoplasms / surgery*
  • Contrast Media
  • Female
  • Humans
  • Mastectomy, Segmental*
  • Middle Aged
  • Radiography
  • Retrospective Studies
  • Stereotaxic Techniques
  • Ultrasonography, Interventional*
  • Ultrasonography, Mammary

Substances

  • Contrast Media