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Related Experiment Videos

Percutaneous excisional breast biopsy.

Anita T Johnson1, Ronda S Henry-Tillman, Lanette F Smith

  • 1Department of Surgery, University of Arkansas for Medical Sciences and Central Arkansas Veterans Healthcare Systems, Little Rock, USA.

American Journal of Surgery
|December 19, 2002
PubMed
Summary
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Ultrasound-guided vacuum-assisted breast biopsy effectively removes benign lesions with minimal complications. This minimally invasive excisional biopsy offers a safe outpatient treatment option for breast abnormalities.

Area of Science:

  • Radiology
  • Breast Surgery
  • Minimally Invasive Procedures

Background:

  • Vacuum-assisted breast biopsy (VABB) under stereotactic guidance is a recognized procedure.
  • The study explored VABB's efficacy for benign lesion removal using ultrasound guidance in an outpatient setting.
  • Hypothesis: Multidirectional handheld VABB can achieve complete removal of small benign lesions with minimal morbidity.

Purpose of the Study:

  • To evaluate the effectiveness of ultrasound-guided vacuum-assisted excisional breast biopsy for benign lesions.
  • To assess the morbidity associated with this minimally invasive procedure.
  • To determine if complete removal of benign breast lesions is achievable in an outpatient setting.

Main Methods:

  • Patients underwent ultrasound-guided minimally invasive excisional breast biopsy via a 3-mm incision.

Related Experiment Videos

  • A handheld 8- or 11-gauge Mammotome device was used for lesion removal.
  • The procedure was performed in an outpatient setting.

    • Main Results:

    • 101 lesions were excised from 81 patients; 93% were benign.
    • The average lesion size was 1.15 cm.
    • Mammograms confirmed lesion resolution in 71% of patients over 40 within six months post-procedure.

    Conclusions:

    • Ultrasound-guided vacuum-assisted excisional breast biopsy is an effective therapeutic approach for benign breast lesions.
    • The technique allows for complete removal of lesions with minimal invasiveness.
    • This method provides a viable outpatient management option for benign breast abnormalities.