Endoscopic specimen pouch technique for removal of giant fibroadenomas of the breast

Cheng, Philip J.; Vu, Lan; Cass, Darrell L.; Hicks, M. John; Brandt, Mary L.; Kim, Eugene

doi:10.1016/j.jpedsurg.2012.01.064

Cited by 9 publications

(6 citation statements)

References 21 publications

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“…This technique was initially proposed by Tamaki et al [15] in 2001 as a minimally invasive surgical technique that involves performing the surgery through a single periareolar incision. This technique was refined by Cheng et al [35] to excise giant juvenile fibroadenomas (5–10 cm in size) with subsequent retrieval of the specimen with an endoscopic plastic bag through the periareolar incision.…”

Section: Discussionmentioning

confidence: 99%

Endoscopy-assisted surgery for the management of benign breast tumors: technique, learning curve, and patient-reported outcome from preliminary 323 procedures

et al. 2017

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BackgroundEndoscopy-assisted breast surgery (EABS), a technique that optimizes cosmetic outcome because it is performed through small wounds hidden in inconspicuous areas, could be an alternative surgical technique for benign breast tumors. In this study, we report the preliminary results of 323 EABS procedures performed at our institution for the management of benign breast tumors.MethodsThe medical records of patients who underwent EABS for benign breast lesions during the periods August 2010 to December 2015 were collected from the Changhua Christian Hospital EABS database. Data on clinicopathologic characteristics, type of surgery, hospital stay, and complications were analyzed to determine the effectiveness of the procedure for benign breast tumors. The operating time with the number of procedure performed was analyzed for learning curve evaluation. Patient satisfaction with cosmetic outcome was evaluated with a self-report questionnaire.ResultsA total of 323 EABS procedures were performed in 286 patients with benign breast lesions, including 249 (90.5%) patients with unilateral lesions. The mean age was 36 years, the mean tumor size was 2.2 cm, and the mean distance from the nipple to the tumor was 5.2 cm. Most (93.8%, 303/323) of these tumors were excised through a transareolar wound, 2.4% (8/323) through an axillary wound, and 0.3% (1/323) through the infra-mammary fold. Histopathologic analysis revealed that 63.5% (202/318) of the tumors were fibroadenoma-related lesions. The mean operative time was 81.4 min (59~89 min), which was decreased with experience increased. The overall rate of complications was 6.5%, and all were minor and wound-related. Among the 110 patients who participated in the self-report cosmetic outcome evaluation, 85.4% reported being satisfied with the cosmetic result, and almost all were satisfied with breast symmetry. Of the patients interviewed, 92.7% reported that they would choose the same procedure if they had to undergo the operation again.ConclusionsOur preliminary results show that transareolar video-assisted breast surgery is a safe and effective procedure with good cosmetic outcome and that it could be appropriate for patients with moderate to large peripherally located breast tumors.Trial registrationCCH-IRB No.15115. Registered 14 December 2015 (retrospectively registered).

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Section: Discussionmentioning

confidence: 99%

Endoscopy-assisted surgery for the management of benign breast tumors: technique, learning curve, and patient-reported outcome from preliminary 323 procedures

et al. 2017

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“…Wang et al [13] did a 6 month follow up after Mammotome procedure on breast fibroadenoma and found the tumor residual mass rate reached 3.4% (positive residual). But by Thurley et al [16] the recurrence rate of fibroadenoma was as high as 25-30%. (Positive recurrence).…”

Section: Discussion:-mentioning

confidence: 96%

Minimal Invasive Radiofrequency Ablation Guided by Ultrasound Versus Surgical Excision in Treatment of Breast Fibroadenomas.

Saad¹

2019

IJAR

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“…Because cosmesis is an important factor when removing a benign lesion, a small surgical incision will enhance cosmetic outcomes 8,9 . However, the size and location of the mass may ultimately guide the incision location and length 7,10 .…”

Section: Discussionmentioning

confidence: 99%

Treatment of giant juvenile fibroadenoma: result after minimally invasive approach without reconstructive surgery

Lima¹,

Lima²

2018

Mastology

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Fibroadenomas são tumores benignos comuns da mama feminina. Aqueles que apresentam rápido crescimento excedendo a 5 centímetros de diâmetro ou que pesam mais que 500 gramas em mulheres jovens são classificados como fibroadenomas gigantes juvenis. Estes tumores são raros e, devido seu excessivo crescimento, são comumente enucleados para descartar uma origem maligna, diferenciar de tumores filóides e para evitar deformidades da mama. Este relato de caso detalha uma abordagem cirúrgica em uma adolescente de 14 anos com preservação da mama e bom resultado estético.

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Endoscopic specimen pouch technique for removal of giant fibroadenomas of the breast

Cited by 9 publications

References 21 publications

Endoscopy-assisted surgery for the management of benign breast tumors: technique, learning curve, and patient-reported outcome from preliminary 323 procedures

Endoscopy-assisted surgery for the management of benign breast tumors: technique, learning curve, and patient-reported outcome from preliminary 323 procedures

Minimal Invasive Radiofrequency Ablation Guided by Ultrasound Versus Surgical Excision in Treatment of Breast Fibroadenomas.

Treatment of giant juvenile fibroadenoma: result after minimally invasive approach without reconstructive surgery

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