Diagnosis and treatment of XXXX by ultrasound-guided vacuum-assisted biopsy.

@entity1 @entity0 @entity548 @entity1557 @entity1558
HYPOTHESIS: Ultrasound-guided vacuum-assisted biopsy (UGVAB) can serve as an efficient tool for the diagnosis and excision of @entity0 . DESIGN: @entity1 with a clinically and radiographically suspected @entity0 were prospectively referred for UGVAB to confirm the diagnosis and to attempt to excise the lesion. @entity1 : Fifty-two female @entity1 , aged 19 to 68 years, were included in the 2-year study. All had at least 1 suspected @entity1557 . The procedure was performed for a total of 56 lesions. INTERVENTIONS: Imaging modalities prior to biopsy to confirm the clinical suspicion included Doppler ultrasound and mammography or Doppler ultrasound alone. Tumor size and volume were recorded. Ultrasound-guided vacuum-assisted biopsy was performed in all cases, with guidance using the 11-gauge Mammotome handheld vacuum-assisted biopsy system (Ethicon Endo-Surgery Inc, Cincinnati, Ohio). MAIN OUTCOME MEASURES: Major end points included diagnosis compatibility rate, excision rate, complications, and short-term follow-up. RESULTS: A tissue diagnosis was obtained in all cases and was compatible with the clinical diagnosis of @entity1557 . Complete excision was achieved in all lesions less than or equal to 1.5 cm (mean volume, 0.25 mL). All lesions greater than 2 cm (mean volume, 1 mL) were incompletely excised. Of the 20 lesions measuring 1.5 to 2.0 cm, 11 (55%) were completely excised. The volume of all completely excised lesions was less than 0.9 mL. Four lesions with a volume less than 0.9 mL were incompletely excised due to @entity548 . Ten of the 13 cases with incomplete excision were confident enough with the diagnosis to choose imaging follow-up instead of surgery. Two @entity1 (16%) were referred by the radiologist for surgical excision. Only 1 @entity1 with incomplete removal (8%) felt uncomfortable with the remnant lump and requested surgical excision. CONCLUSIONS: Although the @entity0 is a common @entity0 , the treatment and follow-up of these lesions is still debatable. We suggest that UGVAB, which has a well-documented role in the diagnosis of @entity1558 , may provide an option for the definitive treatment of @entity0 .
