3115: Ultrasonographic guided mammotome excisional biopsy for abdominal wall masses: A case report

Abstract

Objectives: To introduce the usefulness of mammotome excisional biopsy for the soft tissue mass other than breast mass.Methods: A 37-year old man who had underwent oriental acupunctures on the abdominal wall 4 years ago, presented three painful palpable masses on previous acupuncture sites since 3 months ago. The largest one measuring as about 1.5 cm in diameter at the suprapubic area was surgically excised but recurrent abscess and seroma were developed at operation site. The two smaller masses measuring about 0.38× 0.25 cm and 0.38× 0.31 cm, respectively, were requested for mammotome excision (Biopsy Medical/Johnson and Johnson, Cincinnati, OH) under ultrasound (ATL(Advanced Technology Laboratories), Bothell, WA, HDI 5000) guidance.Results: Two painful small palpable lesions were successfully excised by mammotome with an 11 gauge probe under ultrasound guidance. Image-evident lesions were not visible after mammotome excision and the patient was satisfied with this procedure rather than surgical excision. On pathology, foreign body reaction with acute and chronic inflammation, eosinophic infiltration and fibrosis was found. Clinical recurrence or post-procedure complication such as hematoma or abscess formation did not occur.Conclusions: Mammotome excisional biopsy may be applicable to the soft tissue mass other than breast mass carefully. Objectives: To introduce the usefulness of mammotome excisional biopsy for the soft tissue mass other than breast mass. Methods: A 37-year old man who had underwent oriental acupunctures on the abdominal wall 4 years ago, presented three painful palpable masses on previous acupuncture sites since 3 months ago. The largest one measuring as about 1.5 cm in diameter at the suprapubic area was surgically excised but recurrent abscess and seroma were developed at operation site. The two smaller masses measuring about 0.38× 0.25 cm and 0.38× 0.31 cm, respectively, were requested for mammotome excision (Biopsy Medical/Johnson and Johnson, Cincinnati, OH) under ultrasound (ATL(Advanced Technology Laboratories), Bothell, WA, HDI 5000) guidance. Results: Two painful small palpable lesions were successfully excised by mammotome with an 11 gauge probe under ultrasound guidance. Image-evident lesions were not visible after mammotome excision and the patient was satisfied with this procedure rather than surgical excision. On pathology, foreign body reaction with acute and chronic inflammation, eosinophic infiltration and fibrosis was found. Clinical recurrence or post-procedure complication such as hematoma or abscess formation did not occur. Conclusions: Mammotome excisional biopsy may be applicable to the soft tissue mass other than breast mass carefully.