Feasibility of ultrasound-guided absorbable retaining thread (ART) needle localization for nonpalpable breast lesions
Seo young Park1, Hye Jung Kim1,2 , Wonhwa Kim2, Hye Jin Cheon3, Ho seok Lee3, Ho yong Park4, Jin Hyang Jung4, Ji young Park5
1Department of Radiology, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
2Department of Radiology, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
3Department of Radiology, Kyungpook National University Hospital, Daegu, Korea
4Department of Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Korea
5Department of Pathology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, Korea
Corresponding Author: Hye Jung Kim ,Tel: 82-53-200-3376 , Fax: 82-53-200-3349, Email: mamrad@knu.ac.kr
Received: October 19, 2018;  Accepted: January 8, 2019.  Published online: January 8, 2019.
ABSTRACT
Purpose:
The absorbable retaining thread (ART) needle is composed of a guiding needle with a thread, which is invented for reducing patient discomfort and wire migration. We investigated the feasibility of ultrasound (US)-guided ART needle localization for nonpalpable breast lesions.
Methods:
ART needle localization was performed for 26 nonpalpable breast lesions in 26 patients who were scheduled to undergo surgical excision a day after localization. At initial diagnosis, 17 breast lesions were diagnosed as invasive ductal carcinoma (IDC), 6 as ductal carcinoma in situ (DCIS), and 1 as fibrocystic change. The other two cases without initial pathologic diagnosis had suspicious US features and they were planned to be excised with contralateral breast cancer surgery. The primary outcome was the technical success rate of ART needle localization confirmed by US immediately after the procedure, and the secondary outcomes were percentage of clear margins on pathology and complications for ART needle localization.
Results:
The technical success rate of ART needle localization was 96.2% (25/26) patients and ART was 1 cm apart from the mass in 3.8% (1/26) patient. The lesions were successfully removed with clear margins in all 26 patients. No significant ART needle localization-related complications were observed.
Conclusion:
ART needle localization can be an alternative method for wire needle localization in nonpalpable breast lesions.
Keywords: Breast neoplasms; Image-guided surgery; Ultrasonography
Editorial Office
A-304 Mapo Trapalace, 53 Mapo-daero, Mapo-gu, Seoul 04158, Korea
TEL : +82-2-763-5627   FAX : +82-2-763-6909   E-mail : office@ultrasound.or.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © Korean Society of Ultrasound in Medicine. All rights reserved.                 powerd by m2community
Close layer
prev next