title: Potential application of ultrasound-guided vacuum-assisted excision (US-VAE) for well-selected intraductal papillomas of the breast: single-institutional experiences.
abstract: BACKGROUND
  The study objective was to evaluate our experiences of ultrasound-guided vacuum-assisted excision (US-VAE) of benign intraductal papillomas, and to discuss its potential application as a minimally invasive treatment
  
  
  METHODS
  We reviewed the sonographic and histologic features of 29 benign intraductal papillomas removed by US-VAE. The procedure was recommended on the basis of our indications. For validation of selection criteria, the sonographic and pathologic characteristics of surgically excised 94 papillary lesions during the same period were also evaluated.
  
  
  RESULTS
  The mean diameter of the lesions was 9.8 mm (range 5-15 mm). There was no mass that abutted the skin or pectoralis muscle and extended the branching ducts. All lesions were category 3 or category 4a. The pathologic diagnoses of all removed masses were benign. Local recurrence was observed in one patient. According to the validation study, papillary lesions less than 1.5 cm of category 3 or 4a were mostly reported to be benign (95.9%, 47 of 49).
  
  
  CONCLUSIONS
  US-VAE may be a useful alternative to surgical excision in well-selected benign intraductal papillomas.
authors.affiliation: Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. yourheeya@gmail.com
authors.forename: Kyung Hee
authors.initials: KH
authors.lastname: Ko
authors.forename: Hye Kyoung
authors.initials: HK
authors.lastname: Jung
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Youk
authors.forename: Kyung Po
authors.initials: KP
authors.lastname: Lee
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D001943:Breast Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D018300:Papilloma, Intraductal / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D018084:Ultrasonography, Interventional; D014618:Vacuum