open access

Vol 16, No 1 (2011)
Published online: 2011-01-01
Submitted: 2010-09-18
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Vacuum-assisted core-needle biopsy as a diagnostic and therapeutic method in lesions radiologically suspicious of breast fibroadenoma

Karol Połom, Dawid Murawa, Piotr Nowaczyk, Beata Adamczyk, Elizabeth Giles, Sonia Fertsch, Michal Michalak, Paweł Murawa
DOI: 10.1016/j.rpor.2010.12.001
·
Rep Pract Oncol Radiother 2011;16(1):32-35.

open access

Vol 16, No 1 (2011)
Published online: 2011-01-01
Submitted: 2010-09-18

Abstract

Background

Treatment of breast fibroadenoma remains a subject of clinical discussion. Recommended methods include clinical observation or surgical excision of the lesion. The procedure involves hospitalisation and anaesthesia, leaving a scar on the breast.

Aim

The aim of this study was to present the Centre's experience in removing lesions radiologically suspicious of fibroadenoma by means of an ultrasound-guided vacuum-assisted core-needle biopsy as an alternative to a classical surgery.

Materials and methods

Between March 2007 and April 2010, 196 ultrasound-guided vacuum-assisted biopsies were performed in the Mammotome Biopsy Laboratory of the 1st Surgical Oncology and General Surgery Department at the Greater Poland Cancer Centre in Poznań. The procedure was delivered to female patients aged 17–91 years (mean 40.8, median 39). Qualified for removal were ultrasound identified lesions described as fibroadenomas.

Results

The average size of excised lesions according to pre-biopsy ultrasound image was 13.53[[ce:hsp sp="0.25"/]]±[[ce:hsp sp="0.25"/]]8.92[[ce:hsp sp="0.25"/]]mm (median 11[[ce:hsp sp="0.25"/]]mm, range 4–60[[ce:hsp sp="0.25"/]]mm). In 184 cases (93.9%), benign lesions were found in the final histopathologic examination. Pre-cancer lesions were found in 10 cases, and invasive lesions in two cases. Overall, after follow-up ultrasound examination, four patients were qualified for subsequent surgical resection of lesions that had been left behind.

Conclusion

Vacuum core-needle biopsy is an effective tool enabling removal of breast fibroadenomas. It combines features of a lesion resection and histopathologic material collection providing an access with minimum invasiveness.

Abstract

Background

Treatment of breast fibroadenoma remains a subject of clinical discussion. Recommended methods include clinical observation or surgical excision of the lesion. The procedure involves hospitalisation and anaesthesia, leaving a scar on the breast.

Aim

The aim of this study was to present the Centre's experience in removing lesions radiologically suspicious of fibroadenoma by means of an ultrasound-guided vacuum-assisted core-needle biopsy as an alternative to a classical surgery.

Materials and methods

Between March 2007 and April 2010, 196 ultrasound-guided vacuum-assisted biopsies were performed in the Mammotome Biopsy Laboratory of the 1st Surgical Oncology and General Surgery Department at the Greater Poland Cancer Centre in Poznań. The procedure was delivered to female patients aged 17–91 years (mean 40.8, median 39). Qualified for removal were ultrasound identified lesions described as fibroadenomas.

Results

The average size of excised lesions according to pre-biopsy ultrasound image was 13.53[[ce:hsp sp="0.25"/]]±[[ce:hsp sp="0.25"/]]8.92[[ce:hsp sp="0.25"/]]mm (median 11[[ce:hsp sp="0.25"/]]mm, range 4–60[[ce:hsp sp="0.25"/]]mm). In 184 cases (93.9%), benign lesions were found in the final histopathologic examination. Pre-cancer lesions were found in 10 cases, and invasive lesions in two cases. Overall, after follow-up ultrasound examination, four patients were qualified for subsequent surgical resection of lesions that had been left behind.

Conclusion

Vacuum core-needle biopsy is an effective tool enabling removal of breast fibroadenomas. It combines features of a lesion resection and histopathologic material collection providing an access with minimum invasiveness.

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Keywords

Fibroadenoma; Breast biopsy; Cosmetic effect

About this article
Title

Vacuum-assisted core-needle biopsy as a diagnostic and therapeutic method in lesions radiologically suspicious of breast fibroadenoma

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 16, No 1 (2011)

Pages

32-35

Published online

2011-01-01

DOI

10.1016/j.rpor.2010.12.001

Bibliographic record

Rep Pract Oncol Radiother 2011;16(1):32-35.

Keywords

Fibroadenoma
Breast biopsy
Cosmetic effect

Authors

Karol Połom
Dawid Murawa
Piotr Nowaczyk
Beata Adamczyk
Elizabeth Giles
Sonia Fertsch
Michal Michalak
Paweł Murawa

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