The breast lesion excision system procedure: An optimal solution for the management of indeterminate BI-RADS category 3 breast lesions in women with severe anxiety
Autor: | Zafer Unsal Coskun, Ayşe B. Hot, Ulku Aygen Turkmen, Omer Bender, Adem Akçakaya, Semih Hot, Pınar Özay Nayır, Ayhan Sarı |
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Přispěvatelé: | AKÇAKAYA, ADEM, Giresun Üniversitesi |
Rok vydání: | 2018 |
Předmět: |
Adult
Image-Guided Biopsy 0301 basic medicine medicine.medical_specialty Turkey medicine.medical_treatment Breast Neoplasms BI-RADS Anxiety Mastectomy Segmental Helsinki declaration 03 medical and health sciences 0302 clinical medicine Breast cancer Biopsy medicine Humans Mammography Pathological Aged Neoplasm Staging Retrospective Studies Hematoma medicine.diagnostic_test business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease 030104 developmental biology 030220 oncology & carcinogenesis Female Original Article Ultrasonography Mammary Radiology business Mastectomy |
Zdroj: | Saudi Medical Journal |
ISSN: | 1658-3175 0379-5284 |
DOI: | 10.15537/smj.2018.9.22573 |
Popis: | WOS: 000452510300005 PubMed: 30251732 Objectives: To evaluate the efficacy of the Breast lesion excision system (BLES) procedure as a primary excisional biopsy for the management of breast imaging-reporting and data system (BI-RADS) category 3, small, and solid breast lesions in women having severe breast cancer anxiety. Methods: A retospective study was conducted on 68 patients who underwent a BLES procedure. The study protocol was approved by the local ethical committee of Yeni Yuzyil University in Istanbul, Turkey. The study was carried out according to the principles of the Helsinki Declaration. Small breast lesions removed using a (12, 15 or 20 mm) wand from September 2011 to November 2014. These were category 3 lesions as determined by ultrasound (US) imaging according to BI-RADS. The radiological and pathological sizes of these lesions, the complete excision rates, the procedure durations, the pathological diagnosis, the complications, and the imaging findings before and after the procedure were all recorded. Results: All the patients had a benign pathology. The mean duration of procedure was 12 (range=8-22) minutes. There was no major complication during the procedure and in the following period. Only some small hematomas were determined in 3 (4.2%) patients, and no additional surgical intervention was performed. Conclusion: The BLES procedure is an optimal solution for the management of indeterminate BI-RADS category 3 breast lesions in women with severe anxiety. |
Databáze: | OpenAIRE |
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