Min Jung Kim MD, Abstract Co-Author: Nothing to Disclose

Eun-Kyung Kim, Abstract Co-Author: Nothing to Disclose

Sung Hee Park MD, Presenter: Nothing to Disclose

Jin Young Kwak MD, Abstract Co-Author: Nothing to Disclose

Soo Jin Kim, Abstract Co-Author: Nothing to Disclose

Ki Keun Oh MD, Abstract Co-Author: Nothing to Disclose

To retrospectively review final outcomes in patients whose non-malignant papillary breast lesions were diagnosed at US-guided directional vacuum-assisted removal, to assess the reliability of percutaneous breast tissue removal in diagnosing and managing non-malignant papillary lesions, and to determine whether subsequent excision is necessary when non-malignant papillary lesions are revealed by US-DVAR.

This retrospective study was approved by the institutional review board at our institution; patient consent was not required. We reviewed the clinical and pathologic findings from a total of 30 papillary lesions diagnosed at vacuum-assisted removal in 28 patients (age range, 21-58 years; mean age, 43.5 years). Over the follow-up period, we evaluated whether any histologic upgrade occurred and whether or not residual lesions were detected on follow-up imaging.

None of the 30 lesions became upgraded (0.0% upgrade rate). Thus the negative predictive rate for diagnosis of papillary lesions during US-guided directional vacuum-assisted removal was 100%. Of 24 patients who underwent imaging follow-up for at least 2 years, only four (17%) showed residual lesions.

The results strongly suggest that US-guided directional vacuum-assisted removal is a very reliable method for the diagnosis of papillary lesions, and that those lesions diagnosed as benign at US-guided directional vacuum-assisted removal do not need to be surgically excised.

US-guided directional vacuum-assisted removal is a very reliable method for the diagnosis of papillary lesions, and is recommended not to need subsequent surgical exision for benign papillary lesions.

Kim, M, Kim, E, Park, S, Kwak, J, Kim, S, Oh, K, Percutaneous Removal of Non-malignant Papillary Lesions of the Breast Using a Sonographically-guided Directional Vacuum-assisted Device: A Preliminary Report.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5012307.html