Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Feasibility of Stereotactic Biopsy for Breast Lesions with the Patient in the Decubitus Position: Our Early Experience

옆으로 누운 자세에서 유방병변의 입체정위 생검의 실행 가능성: 초기 경험

  • Lee, Tae-Kil (Department of Radiology, Yonsei University College of Medicine) ;
  • Kim, Min-Jung (Department of Radiology, Yonsei University College of Medicine) ;
  • Kim, Eun-Kyung (Department of Radiology, Yonsei University College of Medicine)
  • 이태길 (연세대학교세브란스병원영상의학과) ;
  • 김민정 (연세대학교세브란스병원영상의학과) ;
  • 김은경 (연세대학교세브란스병원영상의학과)
  • Published : 2011.01.01
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Abstract

Purpose: We performed add-on type stereotactic vaccum-assisted breast biopsy (SVABB) with the patient in the decubitus position and we determined the feasibility of SVABB according to the breast thickness, the vicinity of the lesion in relation to the chest wall and the histopathologic diagnosis, and we report here on our initial experience. Materials and Methods: 81 patients with 82 lesions underwent SVABB. We measured the distance of the lesion from the chest wall on the basis of mammography, and we evaluated the breast thickness on the basis of the magnified, stereotactic view. The histopathologic results and the rate of underestimating atypical findings and ductal carcinoma in situ were analyzed. Results: The range of breast thickness was 12~61 mm on the magnified view and the range of breast thickness was 16~55 mm on the stereotactic view. The range of the distance of the lesion to the chest wall was 0~67 mm. The histopathologic results of SVABB demonstrated benign findings for 62 lesions, atypical findings for 10 lesions, ductal carcinoma in situ for 8 lesions and invasive ductal carcinoma for 2 lesions. The estimated underestimation rate was 30% (3/10) for the atypical finding and 0% (0/7) for ductal carcinoma in situ. Conclusion: This study demonstrated the results of add-on type SVABB with the patient in the decubitus position and SVABB was successful for patients with various lesion locations and breast thicknesses.

목적: 옆으로 누운 자세로 부착식 입체정위 흡입보조생검을 시행 시 환자의 유방 두께 및 흉벽과 병변의 거리에 따른 시술의 실현 가능성 및 석회화 적출빈도와 병리조직학적 결과의 초기 경험에 대해 알아보고자 하였다. 대상과 방법: 81명의 환자의 82개의 병변에서 입체정위 흡입보조생검을 시행하였다. 유방촬영술을 바탕으로 흉벽과 병변의 거리를 측정하였으며, 유방확대촬영술과 시술 시 유방 두께를 측정하였다. 병리조직학적 결과 및 비정형 관상피증식증, 상피내암의 저평가율을 평가하였다. 결과: 유방확대촬영술에서 유방두께는 12~61 mm였으며, 입체정위 생검 시 유방두께는 16~55 mm로 측정되었다. 흉벽과 병변의 거리는 0~67 mm에서 분포하였다. 병리 조직검사 결과는 62개(75.6%)의 병변에서 양성, 10개(12.1%)의 병변에서 비정형 관상피증식증, 8개 (9.7%)의 병변에서 상피내암, 그리고 2개(2.4%)에서는 침습성 관상피암으로 판정되었다. 비정형 관상피증식증의 저평가율은 30%(3/10)로 측정되었으며, 상피내암의 저평가율은 0.0% (0/7)로 측정되었다. 결론: 옆으로 누운자세로 시행한 부착식 입체정위 흡입 조직 생검에 대한 연구결과로서, 다양한 병변의 위치와 유방의 두께의 환자군에서 성공적인 조직생검이 가능하였다.

Keywords

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