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KMID : 1147320170040020035
Journal of Surgical Ultrasound
2017 Volume.4 No. 2 p.35 ~ p.40
Segmentectomy of Intraductal Papillary Lesion Using Ultrasonography Guided Near-infrared Indocyanine Green Fluorescence
Choi Hyun-Jung

Kim Wan-Sung
Shin Hyuk-Jai
Abstract
Purpose: An intraductal papillary lesion is a nonpalpable lesion for which surgical resection is difficult; therefore, a method of resection using a wire is commonly used. However, this method is not accurate for mass resection. Indocyanine green is commonly employed in breast cancer surgery when finding sentinel lymph nodes using a near-infrared indocyanine green fluorescence. The present study was conducted to demonstrate the usefulness of a method of mass excision of the intraductal papillary lesion using a near-infrared fluorescent camera by injecting indocyanine green into the lesion under ultrasound guidance.

Methods: From October 2014 to May 2015, 10 women who were diagnosed with intraductal papilloma by ultrasonography and biopsy at our hospital were operated on by a single surgeon. Indocyanine green was injected into the lesion under ultrasound guidance. After injection, mass excision was performed using a near-infrared camera. The size of the resected lesion and the operation time were reviewed.

Results: The mean size of the specimen was 6.00 ¡¿ 3.71 ¡¿ 1.81 cm and the operation time was 36.5 minutes.

Conclusion: It is useful for the surgeon and the patient to conduct mass excision of the papilloma lesion using a near-infrared fluorescent camera by injecting indocyanine green into the lesion under ultrasound guidance. However, we studied just 10 cases to date and also there was no comparative group. Therefore, Further studies are needed.
KEYWORD
Indocyanine green, Intraductal papilloma, Ultrasound, Breast
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