Potential Application of Ultrasound-Guided Vacuum-Assisted Excision (US-VAE) for Well-selected Intraductal Papillomas of the Breast: Single-Institutional Experiences

• Published in: Annals of surgical oncology Vol. 19; no. 3; pp. 908 - 913
• Main Authors: Ko, Kyung Hee, Jung, Hye Kyoung, Youk, Ji Hyun, Lee, Kyung Po
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 01.03.2012; Springer Nature B.V
• Subjects: Adult; Biopsy, Needle; Breast Neoplasms - diagnosis; Breast Neoplasms - diagnostic imaging; Breast Neoplasms - pathology; Breast Neoplasms - surgery; Breast Oncology; Female; Humans; Medicine; Medicine & Public Health; Middle Aged; Minimally Invasive Surgical Procedures; Oncology; Papilloma, Intraductal - diagnosis; Papilloma, Intraductal - diagnostic imaging; Papilloma, Intraductal - pathology; Papilloma, Intraductal - surgery; Surgery; Surgical Oncology; Ultrasonography, Interventional; Vacuum; Papilloma; Intraductal Papilloma; Papillary Lesion; Pectoralis Muscle; Core Needle Biopsy
• ISSN: 1068-9265; 1534-4681
• DOI: 10.1245/s10434-011-2050-3

Background The study objective was to evaluate our experiences of ultrasound-guided vacuum-assisted excision (US-VAE) of benign intraductal papillomas, and to discuss its potential application as a minimally invasive treatment Methods We reviewed the sonographic and histologic features of 29 benign intraductal papillomas removed by US-VAE. The procedure was recommended on the basis of our indications. For validation of selection criteria, the sonographic and pathologic characteristics of surgically excised 94 papillary lesions during the same period were also evaluated. Results The mean diameter of the lesions was 9.8 mm (range 5–15 mm). There was no mass that abutted the skin or pectoralis muscle and extended the branching ducts. All lesions were category 3 or category 4a. The pathologic diagnoses of all removed masses were benign. Local recurrence was observed in one patient. According to the validation study, papillary lesions less than 1.5 cm of category 3 or 4a were mostly reported to be benign (95.9%, 47 of 49). Conclusions US-VAE may be a useful alternative to surgical excision in well-selected benign intraductal papillomas.