CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(04): 844-849
DOI: 10.1055/s-0041-1735651
Original Article

Vacuum-Assisted Excision, Scarless Solution for Fibroadenoma Breast—A Single-Center Experience

R. Rupa
1   Department of Radiology, Division of Women's Imaging, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
,
Suchana Kushvaha
1   Department of Radiology, Division of Women's Imaging, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
› Institutsangaben

Abstract

Background Fibroadenoma is one of the most common benign breast lesions that is frequently surgically excised in breast practice.

Aim The aim of this study was to determine the efficacy and safety of ultrasound-guided (USG) vacuum-assisted excision biopsy (VAEB) of fibroadenoma.

Settings and Design A retrospective observational study.

Methods and Materials A total of 113 patients with 163 fibroadenomas who underwent USG-guided VAEB under local anesthesia with 7G and 10G probes using an Encor Enspire equipment were included in the study. The patients were followed up after 1, 6, and 12 months. The fibroadenomas up to 4 cm were excised as per the U.S. Food and Drug Administration-approved guidelines of the American Society of Surgeons for percutaneous removal of benign breast lesions.

Results The percentage of complete excision rate was 98.8% and the most frequent complication encountered was hematoma including immediate and delayed accounting for 3.06%. There were no recurrent lesions in our study.

Conclusion USG-guided VAEB of benign breast lumps can be a safe and effective alternative to surgical excision and had better patient satisfaction in terms of efficacy and cosmesis.

Financial Support and Sponsorship

Nil.




Publikationsverlauf

Artikel online veröffentlicht:
01. November 2021

© 2021. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Laufer MR, Goldstein DP. The breast: Examination and lesions. In: Emans SJ, Laufer MR, Goldstein DP. eds. Pediatric and Adolescent Gynecology. 5th edition. Philadelphia: Lippincott Williams & Wilkins; 2005: 729-759
  • 2 Smith BL. Fibroadenomas. In: Harris JR, Hellman S, Henderson IC. et al. eds. Breast Diseases. 2nd edition. Philadelphia: Lippincott; 1991: 34-37
  • 3 Greenberg R, Skornick Y, Kaplan O. Management of breast fibroadenomas. J Gen Intern Med 1998; 13 (09) 640-645
  • 4 Sperber F, Blank A, Metser U, Flusser G, Klausner JM, Lev-Chelouche D. Diagnosis and treatment of breast fibroadenomas by ultrasound-guided vacuum-assisted biopsy. Arch Surg 2003; 138 (07) 796-800
  • 5 Johnson AT, Henry-Tillman RS, Smith LF. et al. Percutaneous excisional breast biopsy. Am J Surg 2002; 184 (06) 550-554 discussion 554
  • 6 Povoski SP, Jimenez RE. A comprehensive evaluation of the 8-gauge vacuum-assisted Mammotome(R) system for ultrasound-guided diagnostic biopsy and selective excision of breast lesions. World J Surg Oncol 2007; 5: 83
  • 7 Park H-L, Kwak J-Y, Jung H-K. et al. Is Mammotome excision feasible for benign breast mass bigger than 3 cm in greatest dimension?. J Korean Surg Soc 2006; 70: 25-29
  • 8 Jayasinghe Y, Simmons PS. Fibroadenomas in adolescence. Curr Opin Obstet Gynecol 2009; 21 (05) 402-406
  • 9 Lakoma A, Kim ES. Minimally invasive surgical management of benign breast lesions. Gland Surg 2014; 3 (02) 142-148
  • 10 Fine RE, Israel PZ, Walker LC. et al. A prospective study of the removal rate of imaged breast lesions by an 11-gauge vacuum-assisted biopsy probe system. Am J Surg 2001; 182 (04) 335-340
  • 11 March DE, Coughlin BF, Barham RB. et al. Breast masses: removal of all US evidence during biopsy by using a handheld vacuum-assisted device–initial experience. Radiology 2003; 227 (02) 549-555
  • 12 Alonso-Bartolomé P, Vega-Bolívar A, Torres-Tabanera M. et al. Sonographically guided 11-G directional vacuum-assisted breast biopsy as an alternative to surgical excision: utility and cost study in probably benign lesions. Acta Radiol 2004; 45 (04) 390-396
  • 13 Vargas HI, Vargas MP, Gonzalez K, Burla M, Khalkhali I. Percutaneous excisional biopsy of palpable breast masses under ultrasound visualization. Breast J 2006; 12 (5, Suppl 2): S218-S222
  • 14 Krainick-Strobel U, Huber B, Majer I. et al. Complete extirpation of benign breast lesions with an ultrasound-guided vacuum biopsy system. Ultrasound Obstet Gynecol 2007; 29 (03) 342-346
  • 15 He Q, Fan X, Guan Y, Tian J, Fan Z, Zheng L. Percutaneous excisional biopsy of impalpable breast lesions under ultrasound visualization. Breast 2008; 17 (06) 666-670
  • 16 Grady I, Gorsuch H, Wilburn-Bailey S. Long-term outcome of benign fibroadenomas treated by ultrasound-guided percutaneous excision. Breast J 2008; 14 (03) 275-278
  • 17 Wang ZL, Li JL, Su L, Zhang YF, Tang J. An evaluation of a 10-gauge vacuum-assisted system for ultrasound-guided excision of clinically benign breast lesions. Breast 2009; 18 (03) 192-196
  • 18 Buğdaycı O, Kaya H, Arıbal E. Ultrasound guided therapeutic excisional vacuum assisted biopsy in breast fibroadenomas. J Breast Health 2017; 13 (02) 74-76
  • 19 Fine RE, Boyd BA, Whitworth PW, Kim JA, Harness JK, Burak WE. Percutaneous removal of benign breast masses using a vacuum-assisted hand-held device with ultrasound guidance. Am J Surg 2002; 184 (04) 332-336
  • 20 Simon JR, Kalbhen CL, Cooper RA, Flisak ME. Accuracy and complication rates of US-guided vacuum-assisted core breast biopsy: initial results. Radiology 2000; 215 (03) 694-697
  • 21 Yao F, Li J, Wan Y. et al. Sonographically guided vacuum-assisted breast biopsy for complete excision of presumed benign breast lesions. J Ultrasound Med 2012; 31 (12) 1951-1957
  • 22 Huber S, Wagner M, Medl M, Czembirek H. Benign breast lesions: minimally invasive vacuum-assisted biopsy with 11-gauge needles patient acceptance and effect on follow-up imaging findings. Radiology 2003; 226 (03) 783-790
  • 23 Li Y, Wu Z, Yan F. et al. Pseudoaneurysm associated with arteriovenous fistula involving a superficial breast arteriole after vacuum-assisted removal of a benign mass: a case report. Medicine (Baltimore) 2018; 97 (36) e12250
  • 24 Ding Y, Cao L, Chen J, Zaharieva EK, Xu Y, Li L. Serial image changes in ultrasonography after the excision of benign breast lesions by mammotome® biopsy system. Saudi J Biol Sci 2019; 26 (01) 178-182
  • 25 Thurley P, Evans A, Hamilton L, James J, Wilson R. Patient satisfaction and efficacy of vacuum-assisted excision biopsy of fibroadenomas. Clin Radiol 2009; 64 (04) 381-385
  • 26 Park H-L, Kim KY, Park JS. et al. Clinicopathological analysis of ultrasound-guided vacuum-assisted breast biopsy for the diagnosis and treatment of breast disease. Anticancer Res 2018; 38 (04) 2455-2462