Evaluate the initial efficacy in the removal of benign breast lesions by vacuum-assisted biopsy in radiology center of Bach Mai hospital
Main Article Content
Abstract
SUMMARY
Objective: A experimental research was performed in radiology center of Bach Mai hospital to evaluate the initial efficacy in the removal of breast benign lesions by vacuum-assisted biopsy.
Subjects and methods: There is a prospective intervention study in 32 female patients with 45 breast benign lesions with needle aspiration
vacuum-assisted biopsy under ultrasound guidance from January 2018 to December 2018.
Results: The mean age is 36.5 years old. The 20-40 years old group is most common (60.0%). The average size of the lesions measuring on ultrasound is 12.9mm. The average number of samples is 13.2 with the average time of cutting is 14.5 minutes. The most common abnormality pathology is breast fibroadenoma (62.2%). Fibrocystic breast disease accounts for 17.8% of all lesions, which is second highest rate. The main complications after biopsy are pain and hematoma in tissu. 78.8% of patients after treatment don’t have to take Paracetamol. The average size of hematoma after 1 month with 10G needle is 4.8mm; with 8G needle is 6.3mm.
Conclusion: Vacuum-assisted breast biopsy is an effective and safe method for removal benign breast lesions. This method is also highly aesthetic. The anapathology results based on this method are reliable, especially for small lesions.
Article Details
Keywords
Vacuum-assisted biopsy, mammotome, breast benign lesions
References
1. Figueroa J.D., Pfeiffer R.M., Brinton L.A. và cộng sự. (2016). Standardized measures of lobular involution and subsequent breast cancer risk among women with benign breast disease: a nested case-control study. Breast Cancer Res Treat, 159(1), 163–172.
2. Kotepui M., Piwkham D., Chupeerach C. và cộng sự. (2014). Epidemiology and histopathology of benign breast diseases and breast cancer in southern Thailand. Eur J Gynaecol Oncol, 35(6), 670–675.
3. Vacuum-Assisted Biopsy (brand names, Mammotome or MIBB) | Biopsy | Imaginis - The Women’s Health & Wellness Resource Network. , accessed: 24/06/2018.
4. Luo H., Chen X., Tu G. và cộng sự. (2011). Therapeutic application of ultrasound-guided 8-gauge Mammotome system in presumed benign breast lesions. Breast J, 17(5), 490 497.
5. Oluwole S.F. và Freeman H.P. (1979). Analysis of benign breast lesions in blacks. Am J Surg, 137(6), 786–789.
6. Park H.-L., Kwak J.-Y., Lee S.-H. và cộng sự. (2005). Excision of Benign Breast Disease by Ultrasound-Guided Vacuum Assisted Biopsy Device (Mammotome). Ann Surg Treat Res, 68(2), 96–101.
7. Fine R.E., Israel P.Z., Walker L.C. và cộng sự. (2001). A prospective study of the removal rate of imaged breast lesions by an 11-gauge vacuum-assisted biopsy probe system. Am J Surg, 182(4), 335–340.
8. Clinical application of mammotome minimally invasive biopsy system for excision of 560 benign breast lumps-- Lingnan Modern Clinics in Surgery 200705. , accessed: 04/06/2018.
9. Li S., Wu J., Chen K. và cộng sự. (2013). Clinical outcomes of 1,578 Chinese patients with breast benign diseases after ultrasound-guided vacuum-assisted excision: recurrence and the risk factors. Am J Surg, 205(1), 39–44.