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The breast lesion excision system (BLES) A preliminary experience.

Bulent Citgez, Murat Atay, Gu Rkan Yetkin

    Annali Italiani Di Chirurgia
    |January 11, 2017
    PubMed
    Summary

    The Breast Lesion Excision System (BLES) offers a minimally invasive way to remove breast lesions, providing adequate tissue for diagnosis. This radiofrequency-assisted method is effective for selected cases, with low complication rates.

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    Area of Science:

    • Oncology
    • Surgical Innovation
    • Pathology

    Background:

    • Percutaneous biopsy methods are standard for breast lesion diagnosis.
    • Minimally invasive techniques are increasingly preferred for breast lesion management.
    • The Breast Lesion Excision System (BLES) utilizes radiofrequency for complete lesion removal.

    Purpose of the Study:

    • To evaluate the efficacy and safety of the Breast Lesion Excision System (BLES) for breast lesions.
    • To compare BLES outcomes with other percutaneous biopsy methods.
    • To assess the adequacy of tissue samples obtained via BLES for histopathological verification.

    Main Methods:

    • The study included 18 patients with breast lesions under 20mm requiring biopsy.
    • BLES was performed using a single insertion with radiofrequency-assisted excision.
    • Tissue capture involved a back-and-forth movement of a basket around the lesion.

    Main Results:

    • All lesions were successfully excised en-bloc with BLES.
    • A single case of subdermal hematoma (5.5%) was the only complication, resolving spontaneously.
    • Pathological analysis confirmed various benign and malignant findings, including fibroadenomas, hyperplasia, cysts, and two cases of carcinoma in situ with invasive components.

    Conclusions:

    • BLES is a non-invasive method for complete breast lesion removal in one piece.
    • The system provides sufficient tissue samples for accurate pathological diagnosis.
    • BLES is a viable option for selected breast lesions, particularly benign ones, potentially avoiding further procedures.