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2000, Number 1

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Cir Gen 2000; 22 (1)

Percutaneous resection of benign breast lesions. Usefulness of endoscopic surgery equipment

Tamayo PG, Zamora DI, García M, Rodríguez NJA, Llamas A, Zepeda H, Adel LA
Full text How to cite this article

Language: Spanish
References: 12
Page: 52-55
PDF size: 34.25 Kb.


Key words:

Breast, breast neoplasms, needle biopsy, ultrasound.

ABSTRACT

Objective: To establish whether a system of cutting by rotation and intense aspiration is useful for the treatment of benign breast lesions.
Setting: University health system and second level health care hospital.
Design: Prospective, experimental study.
Patients and methods: Prospective study in simile, animal model, and clinical assay, the latter one in five patients with fibrous adenoma diagnosis. Resections were performed with modifications made to the rotating knife system, used by the orthopedics service, combined with an aspiration system, as used for liposuction in plastic surgery, associated to the visibility provided by a real time linear ultrasound apparatus, with a 7.5 mHz transductor.
Results: Five fibrous adenomas were resected for the clinical assay. After one year of follow-up, two patients showed recurring disease. Resection procedures lasted an average of 9.4 ± 5.8 min; hemorrhage was minimal. Samples suitable for histopathological studies were obtained from three of the five patients.
Conclusion: The method is suitable for complete resection of the lesion, provides fast recovery, and produces minimal cosmetic damage. Recurrences occurred in two patients.


REFERENCES

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  3. Barth V, Pretchelk K. Atlas of breast disease. Examination, procedures and results. BC Decker Philadelphia, USA 1991: 3-18.

  4. Citado por: Breasted JH. The Classics of Medicine Library. ECAM. Publisher Birmingham, Al. USA 1984: 405.

  5. Citado por: Westendrof W, Maul SM. Primeras teorías médicas, entre la magia y la razón, antiguo Egipto. Crónicas de la medicina. Plaza y Janés Madrid, España: 1993: 16-29.

  6. Parker SH. Percutaneous large core breast biopsy. Cancer 1994; 74: 256-62.

  7. Parker SH, Jobe WE, Dennis MA, Stavros AT, Johnson KK, Yakes WF, et al. Guided automated large-core breast biopsy. Radiology 1993; 187: 507-11.

  8. Parker SH, Dennis, MA, Stavros AT. Clinical pathways in percutaneous breast intervention. Radiographics 1995; 15: 946-50.

  9. Parker SH, Burbank F, Jackman RJ, Aucreman CJ, Cardenosa G, Cink TM, et al. Percutaneous large-core biopsy: a multi-institutional study. Radiology 1994; 193: 359-64.

  10. Parker SH, Stavros AT, Dennis MA. Needle biopsy techniques. Radiol Clin North Am 1995; 33: 1171-86.

  11. Langer TG, de Paredes ES. Breast disease: the radiologist’s expanding role. Curr Probl Diagn Radiol 1993; 5: 190-227.

  12. Elvecrog EI, Lechner MC, Nelson MT. Non palpable breast lesions: correlation of stereotaxic large-core needle biopsy and surgical biopsy results. Radiology 1993; 188: 453-5.




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Cir Gen. 2000;22