Treatment breast fibroadenoma excision using an ultrasound-guided vacuum-assisted biopsy device at 108 Military Central Hospital
Main Article Content
Keywords
Abstract
Objective: To evaluate prospectively the safety and efficacy of treating breast fibroadenoma excision ultrasound-guided vacuum-assisted biopsy device it’s introduction at 108 Military Central Hospital. Subject and method: Peri and post - interventional complications were analyzed for 65 patients with 77 breast lessions which were diagnosed fibroadenoma by ultrasound between September 2019 and September 2020 at 108 Military Central Hospital. Efficacy and clinical examination determined at 6-month post treatment. Result: The mean patient age was 36.82 ± 10.58 years. The mean size was 14.9 ± 5.9mm. There were no serious adverse events. There was 4 patients of bleeding, including 1 patient in our study required surgical intervention and hematoma in 6 (7.8%) patients. Most of the samples were benign lessions 76/77 (98.7%) with 73 fibroadenomas. After 6 months of examination, 73 (94.8%) fibroadenomas were completely removed and 4 (5.2%) residual lessions. Conclusion: We conclude that percutaneous excisional biopsy with a sonographically guided vacuum-assisted core device is a safe and effective approach in the accurate diagnosis and complete removal of presumed benign breast masses, including fibroadenoma with small size.
Article Details
References
2. García CJ, Espinoza A, Dinamarca V et al (2000) Breast US in children and adolescents. Radiographics 20: 1605-1612.
3. Divasta AD, Weldon C, Labow BI (2012) The Breast: Examination and Lesions. Philadelphia, PA: Lippincott, Williams & Wilkins: 405-420.
4. Debi U, Thulkar S, Sharma S et al (2015) Role of directional vacuum assisted breast biopsy in previously equivocal biopsies for breast masses suspicious for malignancy. Malays J Pathol 37: 25-33.
5. NICE (2006) Image-guided vacuum-assiste excision biopsy of benign breast lesion.
6. Povoski SP (2007) The utilization of an ultrasound-guided 8-gauge vacuum-assisted breast biopsy system as an innovative approach to accomplishing complete eradication of multiple bilateral breast fibroadenomas. World J Surg Oncol 5: 124.
7. Karol P, Dawid M, Piotr N, Beata A, Elizabeth G, Sonia F et al (2011) Vacuum-assisted core-needle biopsy as a diagnostic and therapeutic method in lesions radiologically suspicious of breast fibroadenoma. Rep Pract Oncol Radiother 16(1): 32 -55.
8. Simon JR, Kalbhen CL, Cooper RA, Flisak ME (2000) Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy: Initial results. Radiology 215: 694-697.
9. Fine RE, Israel PZ, Walker LC et al (2001) A prospective study of the removal rate of imaged breast lesions by an 11-gauge vacuum-assisted biopsy probe system. Am J Surg 182: 335-340.
10. Yom CK, Moon BI, Choe KJ, Choi HY, Park YL (2009) Long-term results after excision of breast mass using a vacuum-assisted biopsy device. ANZ J Surg 79: 794-798.