Additional Excision Biopsy in Patients With Atypical Ductal Hyperplasia at Ultrasound-guided Vacuum-assisted Breast Biopsy

Clinical practice guidelines for ultrasound-guided vacuum-assisted breast biopsy: Chinese Society of Breast Surgery (CSBrS) practice guidelines 2021

“…For BI-RADS III lesions measuring 2.0 cm, the complete resection rate of VABB is nearly 100%, while for lesions measuring >2.0 cm, the probability of residual lesions is positively correlated with the tumor size. [2,5,8,12] The expert group has not yet discussed VABB for treating gynecomastia, accessory breast, breast abscess, and early breast cancer because of the lack of evidence from prospective randomized controlled trials.…”

“…VABB is also preferred for biopsy of lesions adjacent to the chest wall or a prosthesis. [5,10] For lesions with inconsistent results by imaging evaluation and CNB, VABB can be performed again to enhance the diagnostic accuracy. [2] For VABB used for diagnosis, the expert group recommends that a clip can be placed simultaneously to enhance the accuracy of lesion resection in subsequent open surgery, reduce the rate of secondary resection of the incision margins in breast-conserving surgery, and reduce recurrence.…”

“…2.1 BI-RADS classification III lesions with surgical indications. [4,5] I A Recommendation 3: VABB contraindications.…”

B3-Läsionen der Mamma: Histologische, klinische und epidemiologische Aspekte

“…In Zusammenschau der Literaturdaten der letzten Jahre ist das Unterschätzungsrisiko bei einer ADH immer noch hoch und je nach Studie liegt die Upgraderate bei 10–50 % im nachfolgenden Exzisat [ 3 , 11 , 15 , 17 , 29 , 35 , 37 , 41 , 52 ]. Risikofaktoren sind dabei die fehlende Korrelation zwischen bildgebendem Befund und Pathologie, grössere/ausgedehntere bildgebende Befunde oder Herdbefunde und die Art der Biopsie (Diagnose der ADH an Stanz- oder Vakuumbiopsie) [ 4 , 34 , 38 , 41 ].…”

Progress in atypical lobular hyperplasia: Striking a balance between active surveillance and minimally invasive interventions

“…In light of advancements in minimally invasive surgical approaches, the detection of breast masses presenting ALH can now be effectively undertaken through the precision of ultrasound-guided minimally invasive procedures. 3 This facilitates the thorough removal of tumors, ensuring an authentic and comprehensive pathological diagnosis. The surgical protocol is characterized by its simplicity, fostering a rapid postoperative recovery and a lack of discernible scars.…”