高风险病变的非手术管理
Mariana Afonso Matias1, Nisha Sharma1
1Breast Unit, Leeds Teaching Hospital NHS Trust, Level 1 Chancellor Wing, St James Hospital, Beckett Street, Leeds LS9 7TF.
Radiologic clinics of North America
|May 22, 2024
概括
真空辅助切除为高风险乳腺病变的外科治疗提供了一个安全的替代方案,减少了过度治疗. 这种微创手术在英国和欧洲乳腺损伤采样指南中越来越被认可.
科学领域:
- 在瘤学瘤学.
- 手术病理学手术病理学
- 放射学 放射学是一门学科.
背景情况:
- 高风险乳腺病变的传统外科切除越来越被视为过度治疗.
- 乳腺病变的过度诊断是常见的,需要策略来最大限度地减少过度治疗.
- 最少侵入性技术正在成为传统手术管理的替代方案.
研究的目的:
- 审查当前的趋势和关于管理高风险乳腺病变的最新出版物.
- 评估真空辅助切除术作为外科手术的不那么侵入性的替代方案.
- 评估真空辅助切除乳腺病变的安全性和准则的接受性.
主要方法:
- 关于乳腺损伤管理的最新出版物的文献综述.
- 对当前英国和欧洲高风险病变指南的分析.
- 审查支持真空辅助切除作为安全替代方案的数据.
主要成果:
- 在英国,真空辅助切除被确立为高风险乳腺病变手术的替代方案.
- 英国和欧洲的指导方针现在承认真空辅助切割是一种可行的选择.
- 现有的数据表明,真空辅助切除是取病变样本的安全程序.
结论:
- 真空辅助切除代表了与传统的高风险乳腺病变手术治疗的重大转变.
- 这种技术有助于减轻与过度诊断相关的过度治疗.
- 在指南中越来越多地被接受,这强调了它在现代乳腺病变管理中的作用.
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