Does Ultrasound-Guided Directional Vacuum-Assisted Removal Help Eliminate Abnormal Nipple Discharge in Patients with Benign Intraductal Single Mass?open access
- Authors
- Chang, Jung Min; Cho, Nariya; Moon, Woo Kyung; Park, Jeong Seon; Chung, Se-Yeong; Jang, Mijung
- Issue Date
- Nov-2009
- Publisher
- KOREAN RADIOLOGICAL SOC
- Keywords
- Nipple discharge; Intraductal papilloma; Ultrasound guided; Vacuum-assisted device
- Citation
- KOREAN JOURNAL OF RADIOLOGY, v.10, no.6, pp.575 - 580
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- KOREAN JOURNAL OF RADIOLOGY
- Volume
- 10
- Number
- 6
- Start Page
- 575
- End Page
- 580
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/175922
- DOI
- 10.3348/kjr.2009.10.6.575
- ISSN
- 1229-6929
- Abstract
- Objective: To evaluate whether the removal of an intraductal mass using an ultrasound (US)-guided directional vacuum-assisted device can eliminate symptoms in patients presenting with abnormal nipple discharge.
Materials and Methods: Between March 2004 and October 2006, 36 patients who presented with abnormal nipple discharge, underwent US-guided, 11-gauge vacuum-assisted biopsy for a benign intraductal single mass on US. The ability of the procedure to eliminate nipple discharge was evaluated by physical examination during follow-up US. Lesion characteristics, biopsy variables, and histologic features were analyzed to identify factors affecting symptom resolution.
Results: Of the 36 lesions, 25 (69%) were intraductal papillomas, 10 (28%) were fibrocystic changes, and one (3%) was a fibroadenoma. The nipple discharge disappeared in 69% (25 of 36) of the women at a mean follow-up time of 25 months (range 12-42 month). There was no difference in the lesion characteristics, biopsy variables, and the histologic features between groups that eliminated the symptom compared those with persistent nipple discharge.
Conclusion: US-guided directional vacuum-assisted removal of an intraductal mass appears to eliminate nipple discharge in only 69% of patients and thus, it should not be considered as an alternative to surgical excision.
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