The goal of this study was to compare the diagnostic accuracy, complication rate between 11 and 8 gauge Mammotome probe during ultrasound-guided Mammotome biopsy.
Methods
Sixty eight patients who showed breast mass in sonography were included in this study. Statistical comparisons between the 11 and 8 gauge group were done.
Results
75 biopsies were performed using the Mammotome biopsy system guided by sonography. 63 LESIONS(84.0%) had benign pathology and 12 lesions(16.0%) were malignant. 49(65.3%) of these biopsies were performend with the 11-gauge Mammotome probe, and 26(34.7%) with the 8-gauge probe. Complications such as pain, bleeding , hematoma and skin discoloration were compared between 11 and 8 gauge group. There were nostatistically significant differences in complications such as pain, bleeding, hematoma and skin discoloration. All complications had no significant difference between 11 gauge group and 8 gauge group.
Conclusion
The ultrasound-guided 8 gauge Mammotome biopsy system is as safe as ultrasound-guided 11 gauge Mammotome biopsy system.
The number of the aged patient who undergo the operation has been increased in recent years. The risk of the operation is formidable in old patient. After general surgery, the morbidity and the mortality are associated with the pre-operative medical illness. And, the old age have more pre-operative medical illnesses than the younger. We experienced multiple postoperative complications in 85 years old patient. He has past history of old myocardiac infarction without other disease. He underwent the total gastrectomy with esophagojejunostomy due to advanced gastric cancer. After surgery, multiple post operative complications have occurred such as arrhythmia, hyponatremia, intraperitoneal abscess, gastrointestinal hemorrhage, pneumonia, heart failure, post operative delirium, phlebitis, hearing disturbance, nephropathy, would seroma, liver dysfunction, glucose intolerance. We summarized this case and give a brief review of the literature.