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Microwave ablation of breast pseudoaneurysm
Zhenyu Cai1, Ran Ning2, Wenwu Dong3
1Zhenyu Cai, Department of Ultrasound, Hangzhou Hospital of Zhejiang Medical and Health Group, Hangzhou 310022, China.
Pakistan Journal of Medical Sciences
|January 17, 2022
Summary
A rare breast pseudoaneurysm complication after ultrasound-guided vacuum-assisted biopsy (UGVAB) was successfully treated with microwave ablation and repeat UGVAB. This case highlights the importance of pre-procedural ultrasound and avoiding vessels during biopsy.
Area of Science:
- Radiology
- Vascular Surgery
- Interventional Oncology
Background:
- Breast pseudoaneurysm is an exceptionally rare complication following breast interventions.
- Ultrasound-guided vacuum-assisted biopsy (UGVAB) is a common minimally invasive procedure for breast nodule diagnosis and treatment.
Observation:
- A case of a large breast pseudoaneurysm developed after UGVAB of breast nodules.
- The pseudoaneurysm was successfully treated using microwave ablation.
- Subsequent UGVAB was employed to manage the associated hematoma, achieving a positive therapeutic outcome.
Findings:
- This case demonstrates a novel combined treatment approach for a rare breast pseudoaneurysm.
- Microwave ablation effectively treated the pseudoaneurysm, while repeat UGVAB managed the hematoma.
Implications:
- Emphasizes the necessity of thorough pre-interventional ultrasound to identify and avoid vascular structures during breast biopsies.
- Advocates for a multidisciplinary approach in managing pseudoaneurysms, considering patient condition and lesion characteristics for optimal treatment selection.
