Ces radiol. 2021, 75(2):157-163 | DOI: 10.55095/CesRadiol2021/019

Ultrasound-guided vacuum-assisted excision of benign and high-risk breast lesionsOriginal article

Lucia Veverková, Ľubica Lowová, Ivan Šišola

Radiologická klinika FN, Olomouc

Aim: The aim of this study is to evaluate benefits of vacuum-assisted excision of benign and high-risk breast lesions, to compare this type of performance with open surgery, to evaluate complications after this performance and persisting changes after vacuum-assisted excision during examination several months after excision.

Method: From January 2019 to March 2021 96 vacuum-assisted biopsies or excisions were performed, 27 of them were performed under ultrasound control. In this study histopathological findings were evaluated, number and character of complications immediately after performance and several months after excision were recorded.

Results: Of the total 27 patients with ultrasound-guided vacuum-assisted biopsies or excisions it was performed as a primary type of biopsy in 7 patients. In the cases of the rest 20 patients it was indicated as vacuum-assisted excision after previous core biopsy. For instance, patients with symptomatical fibroadenomas or patients with high-risk breast lesion after previosus core biopsy. In 2 cases invasive breast cancer were founded and one of these patients underwent surgical resection and biopsy of sentinel node. In the second case with carcinoma surgical performace was contraindicated due to comorbidities. In the rest of 25 cases following surgical treatment was not required. Only in 2 cases, larger hematomas were recorded.

Conclusion: Ultrasound-guided vacuum-assisted excision is a full-fledged replacement of open surgery exstirpaction. Due to its indisputable advantages it should be recommended to excision of symptomatic benign and high risk breast lesions.

Keywords: B3 lesions, breast biopsy, exstirpation, fibroadenoma, papiloma, vacuum-assisted excision

Accepted: April 28, 2021; Published: June 1, 2021  Show citation