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Jeong, Kim, Kim, and Choi: The Clinical Experience of an Ultrasound-guided Vacuum-assisted Resection (Mammotome) for Benign Breast Lesions through a Core Needle Biopsy
Original Article
The Journal of Korean Society of Menopause

The Journal of Korean Society of Menopause 2013; 19(1): 9-17.

Published online: 26 April 2013

DOI: https://doi.org/10.6118/jksm.2013.19.1.9

The Clinical Experience of an Ultrasound-guided Vacuum-assisted Resection (Mammotome) for Benign Breast Lesions through a Core Needle Biopsy

Jae-Heok Jeong, M.D.1, Hwi-Gon Kim, M.D., Ph.D.2, Ki-Hyung Kim, M.D., Ph.D.2, Ook-Hwan Choi, M.D., Ph.D.2

1Department of Obstetrics and Gynecology, Hwa-Myeong Il-Sin Christian Hospital, Yangsan, Korea.

2Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Yangsan, Korea.

Address for Correspondence: Ook-Hwan Choi, Department of Obstetrics and Gynecology, Pusan National University School of Medicine, 20 Geumo-ro, Mulgeum-eup, Yangsan 626-770, Korea. Tel: +82-55-360-2580, Fax: +82-55-360-2160, ohchoi@pusan.ac.kr

Received 3 May 2012       Accepted 19 June 2012

Copyright © 2013 by The Korean Society of Menopause

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).

Abstract

Objectives

This study was performed to consider the clinical experience of an ultrasound-guided vacuum-assisted resection (Mammotome) for benign breast lesions through a core needle biopsy.

Methods

The authors carried out a core needle biopsy and Mammotome for 347 patients and investigated the pathologic results.

Results

The significant difference of core needle biopsy and Mammotome results was demonstrated, Spearman correlation coefficient is 0.413 in a correlation analysis.

Conclusion

This experience suggest Mammotome is a useful procedure for providing more correct pathologic findings through complete resection of benign breast lesions.

Keywords: Biopsy needle, Breast diseases, Breast neoplasms, Mammography, Mammotome

Figures and Tables

Fig. 1
Core needle biopy procedure, This sonogram of breast shows the core needle penestrating the central portion of the breast mass avoiding vessels via color doppler.
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Fig. 2
Mammotome breast mass resection procedure. This each sonogram of Mammotome procedure show each step sequentially.
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Fig. 3
The comparison between core needl biopsy (CNB) result vs Mammotome result
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Fig. 4
The distribution between core needle biopsy results vs Mammotome results.
# Spearman rank correlation coefficient: 0.413
1. Fibrocystic change, 2. Fibrocystic change/c epithelial hyperplasia, 3. Fibrocystic change/c florid epithelial hyperplasia, 4. Fibrocystic change/c apocrine metaplasia, 5. Fibroadenoma, 6. Fibroadenomatoid hyperplasia, 7. Papillary tumor, 8. Atypical epithelial hyperplasia, 9. Atypical papilloma, 10. Intraductal papilloma, 11. Phyllodes tumor.
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Table 1
Patient characteristics
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BI-RADS: breast imaging reporting and data system, HRT: hormone replacement therapy

Table 2
Pathologic results of pre-Mammotome core needle biopsy
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Table 3
Pathologic results of Mammotome resection
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Table 4
Comparison to pathologic results of core needle biopsy and Mammotome resection
jksm-19-9-i004

CNB: core needle biopsy

Table 5
Comparison to pathologic results of core needle biopsy and Mammotome resection about combined epithelial hyperplasia lesion
jksm-19-9-i005

CNB: core needle biopsy

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