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RISS 인기검색어
- 검색키워드
- 저자 : 김권천(Kweoncheon Kim) (검색결과 2 건)
- 무료
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김세원(Sewon Kim),김영숙(Young Sook Kim),김권천(Kweoncheon Kim) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
Purpose: Percutaneous vacuum-assisted breast biopsy (Mammotome, Fa. Ethicon Endo-Surgery Breast Care) is now commonly performed as the initial approach to diagnose and treat benign breast lesions. It can obviate the need for surgery in women with benign lesions and often lead to a one-stage surgical procedure when malignant lesions are diagnosed. The purpose of this study was to report the outcome of the Mammotome biopsy.. Methods: We performed 902 cases of Mammotome biopsy (total 474 patients) to confirm the diagnosis and to excise the lesion between January 2003 and December 2006. Among all these cases, 888 cases with radiographically suspected benign lesions, below BI-RADS category 4, were followed up for more than 6 months and we analyzed clinical and pathologic results of these cases, retrospectively. Ultrasonographic follow-up examinations were performed and no malignant tumor or atypical ductal hyperplasia was included. Results: The mean patient age was 42 (range: 17∼76) years. The average size of lesion was 1.12 (range: 0.20∼5.0) cm. In BI-RADS category, there were 450 (49.8%) C2 lesions, 158 (17.8%) C3 lesions and 251 (27.8%) C4 lesions. Histology revealed 506 cases (56.0%) of fibrocystic disease, 295 (32.7%) fibroadenomas, 11 (1.1%) intraductal papillomas, 16 cases (1.7%) of sclerosing adenosis, 21 cases (2.5%) of ductal epithelial hyperplasia, 18 cases (2.1%) of fat necrosis, 3 cases (0.3%) of gynecomastia, 18 cases (1.9%) of chronic inflammation. 824 lesions (92.8%) were completely removed, 39 cases (4.4%) of residual lesion and 25 cases (2.8%) of postoperative scar were reported. Conclusion: Mammotome biopsy is an effective diagnostic and therapeutic management of benign breast lesions with minimal-invasiveness and minimizes postoperative complications.
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유방암 선별 검사로서 시행한 유방촬영술에서 치밀 유방으로 진단된 여성에서 유방 초음파의 유용성
정수연(Su-Yeon Jeong),김유석(Yoo-Seok Kim),김권천(KweonCheon Kim) 조선대학교 의학연구원 2020 The Medical Journal of Chosun University Vol.45 No.1
The purpose of this study was to confirm the effectiveness of breast ultrasonography (US) for breast cancer screening in Korean women by comparing the ratio of patients who are diagnosed with malignancy using breast US with the ratio of those who are diagnosed with dense breasts (category 0) based on mammography (MMG). We conducted a retrograde study on 2,038 female patients who had undergone MMG screening at a single center in South Korea. The patients were categorized according to the Breast Imaging Reporting and Data System (BI-RADS) classification. 82 patients were excluded from the study because they had previously undergone breast cancer surgery and 21 were excluded because they had refused breast US within 6 month after undergone MMG. The patients were categorized based on MMG according to the BI-RADS classification as follows: 1,003 patients (51.8%, 1,003/1,935) corresponding to category 0, 599 (31.0%, 599/1,935) to category 1, 209 (10.8%, 209/1,935) to category 2, 55 (2.8%, 55/1,935) to category 3, and 69 (3.6%, 69/1,935) to category 4 or more. Breast US confirmed suspicious lesions in 141 of the 1,003 patients in category 0, of which 50 patients (5.0% of all patients in category 0) were identified as having malignancy based on biopsy results. 6 patients in category 1 (1.0%, 6/599) were identified as having malignancy, 2 (1.0%, 2/209) in category 2, 4 (7.3%, 4/55) in category 3, and 17 (24.6%, 17/69) in category 4 or more. Our study indicates that cancer detection may be more effective with a combined MMG and breast US screening compared to MMG alone, especially in Korean women.
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