Tags

Type your tag names separated by a space and hit enter

Diagnosis and treatment of breast fibroadenomas by ultrasound-guided vacuum-assisted biopsy.
Arch Surg. 2003 Jul; 138(7):796-800.AS

Abstract

HYPOTHESIS

Ultrasound-guided vacuum-assisted biopsy (UGVAB) can serve as an efficient tool for the diagnosis and excision of breast fibroadenomas.

DESIGN

Patients with a clinically and radiographically suspected breast fibroadenoma were prospectively referred for UGVAB to confirm the diagnosis and to attempt to excise the lesion.

PATIENTS

Fifty-two female patients, aged 19 to 68 years, were included in the 2-year study. All had at least 1 suspected fibroadenoma. The procedure was performed for a total of 56 lesions.

INTERVENTIONS

Imaging modalities prior to biopsy to confirm the clinical suspicion included Doppler ultrasound and mammography or Doppler ultrasound alone. Tumor size and volume were recorded. Ultrasound-guided vacuum-assisted biopsy was performed in all cases, with guidance using the 11-gauge Mammotome handheld vacuum-assisted biopsy system (Ethicon Endo-Surgery Inc, Cincinnati, Ohio).

MAIN OUTCOME MEASURES

Major end points included diagnosis compatibility rate, excision rate, complications, and short-term follow-up.

RESULTS

A tissue diagnosis was obtained in all cases and was compatible with the clinical diagnosis of fibroadenoma. Complete excision was achieved in all lesions less than or equal to 1.5 cm (mean volume, 0.25 mL). All lesions greater than 2 cm (mean volume, 1 mL) were incompletely excised. Of the 20 lesions measuring 1.5 to 2.0 cm, 11 (55%) were completely excised. The volume of all completely excised lesions was less than 0.9 mL. Four lesions with a volume less than 0.9 mL were incompletely excised due to bleeding. Ten of the 13 cases with incomplete excision were confident enough with the diagnosis to choose imaging follow-up instead of surgery. Two patients (16%) were referred by the radiologist for surgical excision. Only 1 patient with incomplete removal (8%) felt uncomfortable with the remnant lump and requested surgical excision.

CONCLUSIONS

Although the breast fibroadenoma is a common benign breast tumor, the treatment and follow-up of these lesions is still debatable. We suggest that UGVAB, which has a well-documented role in the diagnosis of breast lesions, may provide an option for the definitive treatment of breast fibroadenomas.

Authors+Show Affiliations

Departments of Radiology and Surgery, Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12860764

Citation

Sperber, Fani, et al. "Diagnosis and Treatment of Breast Fibroadenomas By Ultrasound-guided Vacuum-assisted Biopsy." Archives of Surgery (Chicago, Ill. : 1960), vol. 138, no. 7, 2003, pp. 796-800.
Sperber F, Blank A, Metser U, et al. Diagnosis and treatment of breast fibroadenomas by ultrasound-guided vacuum-assisted biopsy. Arch Surg. 2003;138(7):796-800.
Sperber, F., Blank, A., Metser, U., Flusser, G., Klausner, J. M., & Lev-Chelouche, D. (2003). Diagnosis and treatment of breast fibroadenomas by ultrasound-guided vacuum-assisted biopsy. Archives of Surgery (Chicago, Ill. : 1960), 138(7), 796-800.
Sperber F, et al. Diagnosis and Treatment of Breast Fibroadenomas By Ultrasound-guided Vacuum-assisted Biopsy. Arch Surg. 2003;138(7):796-800. PubMed PMID: 12860764.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and treatment of breast fibroadenomas by ultrasound-guided vacuum-assisted biopsy. AU - Sperber,Fani, AU - Blank,Annat, AU - Metser,Ur, AU - Flusser,Gideon, AU - Klausner,Joseph M, AU - Lev-Chelouche,Dina, PY - 2003/7/16/pubmed PY - 2003/8/7/medline PY - 2003/7/16/entrez SP - 796 EP - 800 JF - Archives of surgery (Chicago, Ill. : 1960) JO - Arch Surg VL - 138 IS - 7 N2 - HYPOTHESIS: Ultrasound-guided vacuum-assisted biopsy (UGVAB) can serve as an efficient tool for the diagnosis and excision of breast fibroadenomas. DESIGN: Patients with a clinically and radiographically suspected breast fibroadenoma were prospectively referred for UGVAB to confirm the diagnosis and to attempt to excise the lesion. PATIENTS: Fifty-two female patients, aged 19 to 68 years, were included in the 2-year study. All had at least 1 suspected fibroadenoma. The procedure was performed for a total of 56 lesions. INTERVENTIONS: Imaging modalities prior to biopsy to confirm the clinical suspicion included Doppler ultrasound and mammography or Doppler ultrasound alone. Tumor size and volume were recorded. Ultrasound-guided vacuum-assisted biopsy was performed in all cases, with guidance using the 11-gauge Mammotome handheld vacuum-assisted biopsy system (Ethicon Endo-Surgery Inc, Cincinnati, Ohio). MAIN OUTCOME MEASURES: Major end points included diagnosis compatibility rate, excision rate, complications, and short-term follow-up. RESULTS: A tissue diagnosis was obtained in all cases and was compatible with the clinical diagnosis of fibroadenoma. Complete excision was achieved in all lesions less than or equal to 1.5 cm (mean volume, 0.25 mL). All lesions greater than 2 cm (mean volume, 1 mL) were incompletely excised. Of the 20 lesions measuring 1.5 to 2.0 cm, 11 (55%) were completely excised. The volume of all completely excised lesions was less than 0.9 mL. Four lesions with a volume less than 0.9 mL were incompletely excised due to bleeding. Ten of the 13 cases with incomplete excision were confident enough with the diagnosis to choose imaging follow-up instead of surgery. Two patients (16%) were referred by the radiologist for surgical excision. Only 1 patient with incomplete removal (8%) felt uncomfortable with the remnant lump and requested surgical excision. CONCLUSIONS: Although the breast fibroadenoma is a common benign breast tumor, the treatment and follow-up of these lesions is still debatable. We suggest that UGVAB, which has a well-documented role in the diagnosis of breast lesions, may provide an option for the definitive treatment of breast fibroadenomas. SN - 0004-0010 UR - https://www.unboundmedicine.com/medline/citation/12860764/Diagnosis_and_treatment_of_breast_fibroadenomas_by_ultrasound_guided_vacuum_assisted_biopsy_ L2 - https://jamanetwork.com/journals/jamasurgery/fullarticle/vol/138/pg/796 DB - PRIME DP - Unbound Medicine ER -