Minimally Invasive Breast Fibroadenoma Excision Using an Ultrasound-Guided Vacuum-Assisted Biopsy Device

Papathemelis, Thomas and Heim, Stefanie and Lux, Michael P. and Erhardt, Ines and Scharl, Anton and Scharl, Sophia (2017) Minimally Invasive Breast Fibroadenoma Excision Using an Ultrasound-Guided Vacuum-Assisted Biopsy Device. GEBURTSHILFE UND FRAUENHEILKUNDE, 77 (2). pp. 176-181. ISSN 0016-5751, 1438-8804

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Abstract

Introduction We studied the extent to which an ultrasound-guided vacuum-assisted biopsy device ("hand-held Mammotome") could be used not only as a valuable tool for investigation of suspicious breast lesions, but also therapeutically for the complete removal of breast fibroadenomas. Materials and Methods 132 aspiration biopsies showing fibroadenoma on histology were collected retrospectively. We ascertained whether there were residual findings on breast ultrasound at a median follow-up of approx. 9 months following biopsy. A questionnaire was used to determine the complication rate, patient satisfaction and acceptance of the procedure. Results In this study complete fibroadenomectomy was achieved at aspiration biopsy in 76% of cases (n = 132). Compared to fibroadenomas larger than 2.1 cm(3) (59%), those smaller than 2.5 cm(3) were completely removed more often (87.6%; p < 0.05). The procedure is associated with very little pain during and after biopsy and minimal haematoma development, both factors supporting a high rate of acceptance among patients. Conclusion Ultrasound-guided vacuum-assisted biopsy is safe and associated with very few complications. Its additional therapeutic potential is dependant on the size of the benign lesion as measured at initial ultrasound.

Item Type: Article
Uncontrolled Keywords: LESIONS; SYSTEM; EXPERIENCE; DIAGNOSIS; EFFICACY; REMOVAL; ultrasound-guided vacuum aspiration biopsy; fibroadenoma of the breast
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Strahlentherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Dec 2018 13:01
Last Modified: 26 Feb 2019 07:18
URI: https://pred.uni-regensburg.de/id/eprint/467

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