Patient reported cosmetic outcome after vacuum assisted excision of benign breast lesions: a cross-sectional study.

Autor:	van de Voort EMF; Department of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands., Klem TMAL; Department of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands., Struik GM; Department of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.; Department of Surgery, Reinier de Graaf Gasthuis, Delft, The Netherlands., Birnie E; Department of Statistics and Education, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.; Department of Genetics, UMC Groningen, University of Groningen, Groningen, the Netherlands., Sinke RHJA; Department of Pathology, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands., Ghandi A; Department of Radiology, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Jazyk:	angličtina
Zdroj:	The British journal of radiology [Br J Radiol] 2020 Oct 01; Vol. 93 (1114), pp. 20190994. Date of Electronic Publication: 2020 Jul 20.
DOI:	10.1259/bjr.20190994
Abstrakt:	Objective: Better cosmetic outcome after vacuum assisted excision (VAE) compared to surgical excision of benign breast lesions is suggested in previous studies but has never been evaluated with validated outcome measures. In this study, patient reported cosmetic outcome after VAE was evaluated. Methods: Patients who underwent VAE between July 2017 and December 2018 were invited to complete the cosmetic subscale of the Dutch Breast Cancer Treatment Outcome Scale, comparing the treated with the untreated breast. Response mode ranged from 1 (no difference) to 4 (large difference) and cosmetic outcome was calculated as the unweighted mean. Clinical outcomes included: tumor size, number of cores, complications, residual lesions and recurrences. Results: Response rate was 73.4% (47 of 64 patients). Median tumor size was 15 mm (range 5-51 mm) and median number of cores 6.5 (range 1-85), complete excision was confirmed in all but two patients. Mean cosmetic outcome was good (mean score ≤1.75) in 74% of patients and no patients reported a poor cosmetic outcome (mean score >3.25). A hematoma occurred in five patients (one needed aspiration) and a skin rash in one patient, no patients developed an infection or seroma. Conclusion: In this study VAE is safe and effective for tumors up to 5 cm and patient reported cosmetic outcome was good. Patients with benign lesions could benefit from VAE as an alternative for surgical excision. Advances in Knowledge: A formal quantitative measurement of cosmetic outcome after vacuum assisted excision for benign breast lesions was still lacking. This study shows that this cosmetic outcome is overall good in benign lesions up to 5 cm.
Databáze:	MEDLINE
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