Use of intraoperative sonography in breast surgery

摘要

The results of mammography screening show an increase in number of nonpalpable breast lesions. There are also some difficulties with localizing those lesions during of open surgical biopsy. The purpose of this study was to estimate localization of nonpalpable breast lesions with using intraoperative ultrasonography (I-usg). 185 women in the age between 19–63 years, who had excision 220 nonpalpable breast lesions, have been examined with using I-usg. With helping intraoperative probe which was prepared to use in sterile operation field, previously discovered breast lesions was localized, with comparison of their large, deep of location of the breast and ultrasonography features. Next breast lesions were an excision. It was confirmed by ultrasonographic probe in specimen and the control of site was done. In the number of 220 excisional lesions 29 (13.2%) was carcinoma and 10 was in precancerous conditions. 14 of carcinomas had the diameter less than 1.0 cm. Suppuration of injuries was in 4.1%, and hematoma was in 1.4%. I-usg is an effective, reliable, safe and comfortable procedure for localization of nonpalpable breast lesions