Pub Date : 2018-11-30DOI: 10.46268/JSU.2018.5.2.53
S. Ko, M. S. Shin, K. Chun, K. Rhee, Hee-Boong Park
Received July 9, 2018 Revised August 16, 2018 Accepted October 1, 2018 Purpose: This study examined the usefulness of ultrasound-guided vacuum-assisted breast biopsy (Sono-guided VABB) for mammographic microcalcification. Methods: A total of 1,399 lesions of 1,364 patients with BI-RADS Category 4 Mammographic microcalcification were included. Most microcalcifications were not observed on ultrasound (99.4%). Sono-guided (or Mammo-guided) J-wire localization was first performed for the suspicious microcalcification area, and the location of the J-wire and calcification was determined with mammography in most cases (98.5%). Sono-guided VABB was performed after removing the J-wire without a stereotactic device. On the other hand, Sono-guided VABB was performed directly without J-wire localization when microcalcification lesions were identified by mass on ultrasonography (21 cases, 1.5%). In all cases, calcification was confirmed by specimen mammography and the pathology was performed. A follow-up examination was performed to confirm the presence of complications. Results: In 1,399 cases, 188 cases (13.4%) were diagnosed as a malignancy (153 cases of ductal carcinoma in situ, 32 cases of IDC and 3 cases of other cases). The remaining 1,211 cases (86.6%) were diagnosed as benign. There were no significant complications during follow up after VABB. Conclusion: Sono-guided VABB can be used effectively if combined with wire localization, even if mammographic microcalcification lesions are not fully identified by ultrasonography.
{"title":"Clinical Experience of Ultrasound-Guided, Vacuum-Assisted Breast Biopsy for Mammographic Microcalcifications: Combination with Wire Localization","authors":"S. Ko, M. S. Shin, K. Chun, K. Rhee, Hee-Boong Park","doi":"10.46268/JSU.2018.5.2.53","DOIUrl":"https://doi.org/10.46268/JSU.2018.5.2.53","url":null,"abstract":"Received July 9, 2018 Revised August 16, 2018 Accepted October 1, 2018 Purpose: This study examined the usefulness of ultrasound-guided vacuum-assisted breast biopsy (Sono-guided VABB) for mammographic microcalcification. Methods: A total of 1,399 lesions of 1,364 patients with BI-RADS Category 4 Mammographic microcalcification were included. Most microcalcifications were not observed on ultrasound (99.4%). Sono-guided (or Mammo-guided) J-wire localization was first performed for the suspicious microcalcification area, and the location of the J-wire and calcification was determined with mammography in most cases (98.5%). Sono-guided VABB was performed after removing the J-wire without a stereotactic device. On the other hand, Sono-guided VABB was performed directly without J-wire localization when microcalcification lesions were identified by mass on ultrasonography (21 cases, 1.5%). In all cases, calcification was confirmed by specimen mammography and the pathology was performed. A follow-up examination was performed to confirm the presence of complications. Results: In 1,399 cases, 188 cases (13.4%) were diagnosed as a malignancy (153 cases of ductal carcinoma in situ, 32 cases of IDC and 3 cases of other cases). The remaining 1,211 cases (86.6%) were diagnosed as benign. There were no significant complications during follow up after VABB. Conclusion: Sono-guided VABB can be used effectively if combined with wire localization, even if mammographic microcalcification lesions are not fully identified by ultrasonography.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46681085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-31DOI: 10.46268/JSU.2018.5.1.18
Min Seok Bae, Sang Hoo Lee, K. Park, Jae Hoon Lee
Purpose: A pseudoaneurysm has always been troublesome after cardiac angiography or trauma. Ultrasound-guided thrombin injection is a simple procedure without scarring and pain for a pseudoaneurysm. This paper describes the authors’ experiences of thrombin injection in patients with a pseudoaneurysm in the lower extremity. Methods: From January 2012 to March 2017, 11 patients with a pseudoaneurysm of the leg were included this study. Patients after coronary angiography, percutaneous coronary inter-vention, coiling of a cerebral aneurysm, extracorporeal circulation, and knee ligament sur-gery were eligible. Results: The mean age of the patients was 60.9 years. Eight patients developed a pseudoaneurysm in relation to cardiac catheterization and 8 patients had a pseudoaneurysm in the superficial femoral artery. Ultrasonography was used for diagnostic purposes in 10 patients. The mean size of the pseudoaneurysm was 2.5 cm and the mean amount of thrombin was 1980 u. Thromboembolism, including occlusion of the peripheral artery after the procedure, did not occur and there was no recurrence of the pseudoaneurysm after the procedure. The average number of hospital days from the procedure was 2.5 days. Conclusion: Ultrasound-guided thrombin injection is a good option for treating a pseudoaneurysm and ultrasonography is essential for the diagnosis, treatment and follow-up study of pseudoaneurysm.
{"title":"Ultrasound-guided Thrombin Injection in a Lower Extremity Pseudoaneurysm","authors":"Min Seok Bae, Sang Hoo Lee, K. Park, Jae Hoon Lee","doi":"10.46268/JSU.2018.5.1.18","DOIUrl":"https://doi.org/10.46268/JSU.2018.5.1.18","url":null,"abstract":"Purpose: A pseudoaneurysm has always been troublesome after cardiac angiography or trauma. Ultrasound-guided thrombin injection is a simple procedure without scarring and pain for a pseudoaneurysm. This paper describes the authors’ experiences of thrombin injection in patients with a pseudoaneurysm in the lower extremity. Methods: From January 2012 to March 2017, 11 patients with a pseudoaneurysm of the leg were included this study. Patients after coronary angiography, percutaneous coronary inter-vention, coiling of a cerebral aneurysm, extracorporeal circulation, and knee ligament sur-gery were eligible. Results: The mean age of the patients was 60.9 years. Eight patients developed a pseudoaneurysm in relation to cardiac catheterization and 8 patients had a pseudoaneurysm in the superficial femoral artery. Ultrasonography was used for diagnostic purposes in 10 patients. The mean size of the pseudoaneurysm was 2.5 cm and the mean amount of thrombin was 1980 u. Thromboembolism, including occlusion of the peripheral artery after the procedure, did not occur and there was no recurrence of the pseudoaneurysm after the procedure. The average number of hospital days from the procedure was 2.5 days. Conclusion: Ultrasound-guided thrombin injection is a good option for treating a pseudoaneurysm and ultrasonography is essential for the diagnosis, treatment and follow-up study of pseudoaneurysm.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45862039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neck masses are common findings that present in all age groups and have many causes, rang-ing from congenital to acquired, from cysts, inflammatory, infective to neoplastic disease, and encompassing any neck structure. Ultrasound (US) is the most common and first-step imaging method for evaluating neck masses in clinical practice. The advantages of US over other imaging techniques are its price and low patient burden. Although US is used ex-tensively to evaluate the thyroid and parathyroid pathology, it is useful for evaluating all masses within the head and neck, particularly the lymph nodes. US can be used to character-ize a neck mass under a real-time assessment, to guide percutaneous tissue sampling, and search for additional masses. Furthermore, US is the only imaging technique available that can be used for frequent routine follow-ups.
{"title":"Ultrasound Evaluation for Assessing Non-Thyroid Neck Masses","authors":"J. Jung","doi":"10.46268/JSU.2018.5.1.1","DOIUrl":"https://doi.org/10.46268/JSU.2018.5.1.1","url":null,"abstract":"Neck masses are common findings that present in all age groups and have many causes, rang-ing from congenital to acquired, from cysts, inflammatory, infective to neoplastic disease, and encompassing any neck structure. Ultrasound (US) is the most common and first-step imaging method for evaluating neck masses in clinical practice. The advantages of US over other imaging techniques are its price and low patient burden. Although US is used ex-tensively to evaluate the thyroid and parathyroid pathology, it is useful for evaluating all masses within the head and neck, particularly the lymph nodes. US can be used to character-ize a neck mass under a real-time assessment, to guide percutaneous tissue sampling, and search for additional masses. Furthermore, US is the only imaging technique available that can be used for frequent routine follow-ups.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42592947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-31DOI: 10.46268/JSU.2018.5.1.11
H. Youn, Sang Yull Kang, S. Jung
Since the late 1960s, ultrasonography (US) has been used increasingly in the diagnosis and treatment of patients with thyroid carcinoma. As a noninvasive, rapid, and easily reprodu-cible high-resolution imaging study, the use of US has expanded from the detection of non-palpable thyroid carcinoma to an examination of the lymph node basins for staging purposes and treatment planning, fine needle aspiration guidance, intraoperative localization of thyroid lesions and lymph nodes, and postoperative surveillance for recurrent thyroid carcinoma. The recent literature has shown that compared to radiologist-performed US, sur-geon-performed US is more accurate and suitable for thyroid carcinoma patients with lower local recurrence rates. This article reviews the clinical significance and usefulness of US in the management of patient with thyroid carcinoma.
{"title":"Usefulness of Ultrasound in the Management of Thyroid Carcinoma","authors":"H. Youn, Sang Yull Kang, S. Jung","doi":"10.46268/JSU.2018.5.1.11","DOIUrl":"https://doi.org/10.46268/JSU.2018.5.1.11","url":null,"abstract":"Since the late 1960s, ultrasonography (US) has been used increasingly in the diagnosis and treatment of patients with thyroid carcinoma. As a noninvasive, rapid, and easily reprodu-cible high-resolution imaging study, the use of US has expanded from the detection of non-palpable thyroid carcinoma to an examination of the lymph node basins for staging purposes and treatment planning, fine needle aspiration guidance, intraoperative localization of thyroid lesions and lymph nodes, and postoperative surveillance for recurrent thyroid carcinoma. The recent literature has shown that compared to radiologist-performed US, sur-geon-performed US is more accurate and suitable for thyroid carcinoma patients with lower local recurrence rates. This article reviews the clinical significance and usefulness of US in the management of patient with thyroid carcinoma.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47738199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-31DOI: 10.46268/JSU.2018.5.1.23
S. C. Paik, Myeounghee Jeoung
Toxoplasmosis is a parasitic disease caused by Toxoplasma gondii. Acute toxoplasmosis is usually asymptomatic in immunocompetent hosts, but some people suffer from influen-za-like symptoms, fever, headache, and fatigue. The most common manifestation of toxoplasmosis in immunocompetent hosts is cervical lymphadenitis. The typical histology find-ings of toxoplasma lymphadenitis are found by a core needle biopsy. This paper reports two cases of toxoplasma lymphadenitis with a review of the clinical features, diagnostic method, and treatment of toxoplasmosis.
{"title":"Two Cases of Cervical Lymphadenitis by Toxoplasma","authors":"S. C. Paik, Myeounghee Jeoung","doi":"10.46268/JSU.2018.5.1.23","DOIUrl":"https://doi.org/10.46268/JSU.2018.5.1.23","url":null,"abstract":"Toxoplasmosis is a parasitic disease caused by Toxoplasma gondii. Acute toxoplasmosis is usually asymptomatic in immunocompetent hosts, but some people suffer from influen-za-like symptoms, fever, headache, and fatigue. The most common manifestation of toxoplasmosis in immunocompetent hosts is cervical lymphadenitis. The typical histology find-ings of toxoplasma lymphadenitis are found by a core needle biopsy. This paper reports two cases of toxoplasma lymphadenitis with a review of the clinical features, diagnostic method, and treatment of toxoplasmosis.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47579787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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