Ultrasound-guided vacuum-assisted core biopsy in the diagnosis and treatment of focal lesions of the breast - own experience
| Autor: | Antoni M. Szczepanik, Jan Kulig, Wojciech Kibil, Diana Hodorowicz-Zaniewska |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Original Paper
medicine.medical_specialty business.industry Vacuum assisted Urology Ultrasound Gastroenterology Obstetrics and Gynecology Cancer breast focal lesions medicine.disease Ultrasound guided Surgery Lesion breast cancer Breast cancer medicine Radiology medicine.symptom Differential diagnosis business Core biopsy vacuum-assisted core biopsy |
| Zdroj: | Videosurgery and other Miniinvasive Techniques |
| Popis: | Introduction Vacuum-assisted core biopsy (VACB) guided by ultrasound is a minimally invasive method used in diagnosis and treatment of breast focal lesions. Vacuum-assisted core biopsy is an interesting minimally invasive alternative to open surgical biopsy. Aim To assess the value of ultrasound-guided vacuum-assisted core biopsy in the diagnosis and treatment of breast focal lesions. Material and methods In the period 2009-2010, 397 ultrasound-guided vacuum-assisted core biopsies were performed. Mean age of the patients was 41.7 years (18-92 years), and size of the lesions ranged from 3 mm to 65 mm, mean size being 12 mm. All women with diagnosed atypical ductal hyperplasia or cancer were qualified for surgery. The patients with histopathologically benign lesions were under follow-up. Results Samples sufficient for histopathological examination were obtained from 394 cases (99.2%). Of all 397 lesions, 293 (73.7%) were diagnosed as benign, there were 6 (1.6%) cases of atypical ductal hyperplasia and 98 (24.7%) malignant lesions. Three hundred and sixty-nine lesions were below 15 mm in diameter, of which 339 (91.9%) were totally removed during the VACB. Conclusions The results obtained confirm high efficiency of ultrasound-guided VACB in the differential diagnosis of breast focal lesions, including impalpable ones. It is a safe method with a low complication rate. In the case of benign lesions with a diameter not exceeding 15 mm, it allows one to excise the whole lesion and is a very good alternative to an open surgical biopsy. Vacuum-assisted core biopsy should be a standard and the method of choice in diagnosing breast lesions. |
| Databáze: | OpenAIRE |
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