Rodríguez-San Martín J, Tarrasón RS

Language: Spanish
References: 7
Page: 429-434
PDF size: 597.02 Kb.

ABSTRACT

Introduction: The development of vacuum assisted and ultrasoundguided biopsy for percutaneous treatment, as an alternative to the traditional surgical approach in patients with clinically benign lesions, has permitted some changes. It is a procedure similar to a thick needle (14G) biopsy, and uses 10G or larger needles to completely extirpate the lesion in a high percentage of cases. Bruising is its principal complication. A relevant indication for this technique is as an alternative to surgery in patients with lesions of benign appearance in whom radiological follow-up is not desired.
Objective: Know the technique and therapeutic efficacy of ultrasoundguided vacuum assisted biopsy (with 10G needles) as an alternative to the traditional surgical procedure in patients with benign mammary lesions.
Material and methods: At the Radiodiagnosis Service of the Hospital Universitario Maternal Vall d’ Hebrón Breast Disease Unit, in Barcelona, a prospective clinical studio was conducted, from March 2012 through October 2014, performing percutaneous exeresis on 106 patients and control at 24 hours.
Results: The lesions varied in size from 9 to 35 mm. three to 126 cuts were made; access was posterior to the tumor. The anatomopathological results were: 80 fibroadenomas, 2 pseudoangiomatous stromal hyperplasias, 2 steatonecroses, 2 hamartomas, 1 adenomyoepithelioma, 1 stromal fibrosis, 9 papillomas (1 with hyperplasia), 7 sclerosing adenoses, 2 in situ lobular carcinomas, 2 typical ductal hyperplasias, 1 atypical ductal hyperplasia.
Conclusion: The primary objective when performing any interventionist procedure in the breast is to obtain the largest possible sample or specimen for the pathologist, to achieve the best possible diagnosis in the most economical manner and with the least possible harm to the patient. Percutaneous exeresis is a resolutive technique of mammary intervention.

REFERENCES

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