Sonographically guided percutaneous excision of clinically benign breast masses

Wang, Zhi Li; Liu, Gang; Li, Jun Lai; Ding, Qian; Su, Li Ming; Tang, Jie; Ma, Lin

doi:10.1002/jcu.20752

Cited by 12 publications

(23 citation statements)

References 20 publications

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“…Our previous study which was about the treatment for the other benign breast lesions with VACB also demonstrated that clear edge was helpful for the complete excision of lesions. 20 Our study demonstrated that intraductal papilloma with branch involvement or calcification had a significantly lower excision rate than those without branch involvement or calcification. Studies reported that intraductal papilloma with branch involvement or calcification often means a higher invasiveness of the lesion.…”

Section: Lesion Characteristics and Histologic Features Cases (%)mentioning

confidence: 50%

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Ultrasound‐guided 7‐gauge vacuum‐assisted core biopsy: Could it be sufficient for the diagnosis and treatment of intraductal papilloma?

Wang

Liu

et al. 2019

Breast J

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The aim of this study was to evaluate whether ultrasound‐guided 7‐gauge vacuum‐assisted core biopsy is sufficient for the diagnosis and treatment of intraductal papilloma and to evaluate the lesion characteristics and histologic features affecting the excision rate of papilloma with vacuum‐assisted core biopsy. Between March 2008 and October 2016, 2816 patients underwent US‐guided, 7‐gauge vacuum‐assisted core biopsy (VACB). In them, 101 (3.6%) were demonstrated to have intraductal papilloma by pathology. The accurate diagnostic rate and excision rate of intraductal papilloma after vacuum‐assisted core biopsy were evaluated by open surgical biopsy or follow‐up US. The lesion characteristics and histologic features were analyzed to identify factors affecting the excision rate of papilloma after VACB. Of the 101 intraductal papillomas, 83 (82.2%) cases were benign papilloma. Two cases were intraductal papilloma accompanied by invasive carcinoma. Sixteen (15.8%) cases were with signs of atypical hyperplasia. In them, one intraductal papilloma accompanied by severe atypical hyperplasia underwent further surgery, and it was demonstrated to have intraductal papilloma accompanied by invasive carcinoma. The accurate diagnostic rate of intraductal papillomas by 7‐gauge VACB was 99.0% (100/101). There was no recurrence or malignant transformation in 85.1% (86/101) intraductal papillomas after 7‐gauge vacuum‐assisted core biopsy. Intraductal papilloma with largest diameter <1 cm, with clear margin, without branch involvement or calcification had a significantly higher excision rate. Seven‐gauge VACB is an effective method for the diagnosis of intraductal papilloma of the breast. If histopathological examination confirms a benign character of the lesion, surgery may be avoided but regular follow‐up is recommended. If histopathological examination confirms a papilloma with moderate to severe atypical hyperplasia, it was strongly recommended for surgical excision. Lesion characteristics and histologic features could affect the excision rate of intraductal papillomas with VACB.

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Section: Lesion Characteristics and Histologic Features Cases (%)mentioning

confidence: 50%

“…A lesion with a clear edge could provide a more clear view in the process of operation and is helpful for a complete excision. Our previous study which was about the treatment for the other benign breast lesions with VACB also demonstrated that clear edge was helpful for the complete excision of lesions …”

Section: Discussionmentioning

confidence: 90%

Ultrasound‐guided 7‐gauge vacuum‐assisted core biopsy: Could it be sufficient for the diagnosis and treatment of intraductal papilloma?

Wang

Liu

et al. 2019

Breast J

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“…In 141 patients, more than 10 frustules were taken in an attempt to completely remove the lesion using VABB with an 11- or 8-gauge probe, but complete removal occurred only in 93 cases, while in the remaining 48 cases, after the ultrasound-guided follow-up 6 months later, minimum residue of the lesion was still present [17, 18, 19, 20]. …”

Section: Resultsmentioning

confidence: 99%

Use of Core Needle Biopsy rather than Fine-Needle Aspiration Cytology in the Diagnostic Approach of Breast Cancer

et al. 2014

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Background and Aims: In the following study case, we reviewed breast ultrasound-guided core needle biopsy (CNB), using Mammotome (vacuum-assisted breast biopsy) and Tru-cut, carried out on palpable and nonpalpable uncertain breast lumps or malignant large lesions to be submitted to neoadjuvant chemotherapy. Material and Methods: Examinations were conducted during a 4-year period of clinical activity in a highly specialized center, from December 2009 to December 2013, in 712 patients previously subjected to fine-needle aspiration cytology (FNAC). Results: The results demonstrated that among the 712 breast biopsies, in many cases FNAC was not conclusive, and therefore we proceeded with the echo-guided biopsy, through which we were able to collect sufficient material for the histological examination in order to direct patients to surgery or follow-up. Conclusions: CNB is far superior to FNAC, especially in cases of uncertainty, where it is preferable to proceed directly with CNB, which may also determine additional prognostic and predictive markers. Initially FNAC is less expensive, but the actual costs involved tend to be higher for FNAC as it is less accurate and a CNB is often required. In accordance with recent publications, we can confirm the full validity of CNB in the diagnostic approach of breast lesions.

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“…Among 27 PTs that were excised surgically, however, residual tumor was found in 15 (55.6%; 12 benign, 1 borderline and 2 malignant). Two previous studies reported that PTs exhibited no residual abnormality on US after US-VAE, but residual lesions were found in subsequent surgical excision (Wang et al 2011. Given these results and the association of residual tissue with local recurrence of PTs, subsequent surgical excision with a negative resection margin should be considered for PTs diagnosed after US-VAE (Jang et al 2012).…”

Section: Discussionmentioning

confidence: 87%

“…However, it has been found that complete removal based on US does not mean complete histologic removal and very small amounts of residual tumor may not be detected on US immediately after US-VAE (Wang et al 2011). During and immediately after US-VAE, it is difficult to confirm the status of an excised mass because of the physical change induced by biopsy and technical problems.…”

Section: Discussionmentioning

confidence: 97%

Phyllodes Tumor Diagnosed after Ultrasound-Guided Vacuum-Assisted Excision: Should It Be Followed by Surgical Excision?

Youk

Kim

Son

et al. 2015

Ultrasound in Medicine & Biology

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Sonographically guided percutaneous excision of clinically benign breast masses

Abstract: Percutaneous excision using a vacuum-assisted biopsy device is an alternative to surgical excision of benign breast masses.

Cited by 12 publications

References 20 publications

Ultrasound‐guided 7‐gauge vacuum‐assisted core biopsy: Could it be sufficient for the diagnosis and treatment of intraductal papilloma?

Ultrasound‐guided 7‐gauge vacuum‐assisted core biopsy: Could it be sufficient for the diagnosis and treatment of intraductal papilloma?

Use of Core Needle Biopsy rather than Fine-Needle Aspiration Cytology in the Diagnostic Approach of Breast Cancer

Phyllodes Tumor Diagnosed after Ultrasound-Guided Vacuum-Assisted Excision: Should It Be Followed by Surgical Excision?

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