Low-risk palpable breast masses removed using a vacuum-assisted hand-held device
| Autor: | Beth A Boyd, Pat Whitworth, Julian A Kim, Richard E. Fine, William E. Burak, Jay K Harness |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Breast biopsy medicine.medical_specialty Percutaneous Vacuum Mammotome Biopsy Breast Neoplasms Palpation Lesion Patient satisfaction Risk Factors Humans Medicine Ultrasonography Interventional medicine.diagnostic_test business.industry General Medicine medicine.disease Fibroadenoma Surgery Patient Satisfaction Female Radiology medicine.symptom business |
| Zdroj: | The American Journal of Surgery. 186:362-367 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/s0002-9610(03)00263-0 |
| Popis: | This study evaluates the safety, efficacy, and patient acceptance of a vacuum-assisted, hand-held biopsy device (Mammatome) in the percutaneous removal of breast masses using ultrasound guidance.A multicenter, nonrandomized study evaluated 216 women with low-risk palpable lesions. Lesions 1.5 to 3.0 cm in size were removed using an 8-gauge probe. Those lesions1.5 cm were removed with the 11-gauge probe. Follow-up evaluation was performed at 10 days and 6 months after biopsy.A total of 127 patients had biopsies using the 8-gauge probe, and 89 patients had biopsies using the 11-gauge probe. At 6-month follow-up, 98% of the lesions remained nonpalpable, 73% with no ultrasonographically visible evidence of the original lesion. Most complications were mild and anticipated. Most patients (98%) were satisfied with incision appearance, and 92% of patients would recommend the procedure to others.Percutaneous removal of palpable benign breast masses using the Mammotome system is feasible and safe, and yields high patient satisfaction. The results at 6 months after biopsy demonstrated the effectiveness of benign lesion removal, with correlative clinical data demonstrating lack of palpability and no need for additional procedures. Continuing evaluation of long-term efficacy is ongoing. |
| Databáze: | OpenAIRE |
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