دورية أكاديمية
أعرض في EDS

Efficacy and safety of vacuum-assisted excision (VAE) of fibroadenomas: experience in a tertiary centre.

التفاصيل البيبلوغرافية
العنوان: Efficacy and safety of vacuum-assisted excision (VAE) of fibroadenomas: experience in a tertiary centre.
المؤلفون: Carriero S; Postgraduate School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy., Depretto C; Fondazione IRCCS Istituto Nazionale dei Tumori, Via Giacomo Venezian 1, 20133, Milan, Italy., Cozzi A; Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC) Via Tesserete 46, 6900, Lugano, Switzerland., Della Pepa G; Postgraduate School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy. gianmarco.dellapepa@gmail.com., D'Ascoli E; Postgraduate School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy., Irmici G; Postgraduate School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy., Tamburrano C; Fondazione IRCCS Istituto Nazionale dei Tumori, Via Giacomo Venezian 1, 20133, Milan, Italy., Ballerini D; Fondazione IRCCS Istituto Nazionale dei Tumori, Via Giacomo Venezian 1, 20133, Milan, Italy., Bonanomi A; Fondazione IRCCS Istituto Nazionale dei Tumori, Via Giacomo Venezian 1, 20133, Milan, Italy., Scaperrotta GP; Fondazione IRCCS Istituto Nazionale dei Tumori, Via Giacomo Venezian 1, 20133, Milan, Italy.
المصدر: La Radiologia medica [Radiol Med] 2023 Oct; Vol. 128 (10), pp. 1199-1205. Date of Electronic Publication: 2023 Aug 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Milan Country of Publication: Italy NLM ID: 0177625 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1826-6983 (Electronic) Linking ISSN: 00338362 NLM ISO Abbreviation: Radiol Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Milan : Springer Milan
Original Publication: Torino [etc.] Minerva medica.
مواضيع طبية MeSH: Fibroadenoma*/diagnostic imaging , Fibroadenoma*/surgery , Fibroadenoma*/pathology , Breast Neoplasms*/diagnostic imaging , Breast Neoplasms*/surgery , Breast Neoplasms*/pathology, Female ; Humans ; Middle Aged ; Retrospective Studies ; Ultrasonography, Interventional/methods ; Mammography
مستخلص: Purpose: To evaluate the technical success and efficacy rates of US-guided percutaneous vacuum-assisted excision (VAE) of breast fibroadenomas, also assessing procedural complications and long-term patient satisfaction rates.
Materials and Methods: The institutional database of a tertiary breast cancer referral centre was retrospectively reviewed to retrieve all women with fibroadenomas who underwent US-guided VAE between May 2011 and September 2019. We subsequently included in this study all fibroadenomas with a maximum diameter of 3 cm at US and an available histological confirmation obtained by core-needle biopsy before VAE. Immediately after VAE, technical success (defined as the correct VAE execution) and the occurrence of procedural complications were evaluated. Imaging follow-up (US ± mammography) after 6, 12, 24 and 36 months was performed to evaluate technical efficacy (defined as the absence of fibroadenoma recurrence at 6-month follow-up). Long-term patient satisfaction was evaluated with telephonic interviews in October 2022.
Results: We retrospectively included 108 women (median age 46 years) with 110 fibroadenomas diagnosed at core-needle biopsy with a median lesion size at US of 12 mm. Technical success was obtained in 110/110 VAEs (100%). Minor procedural complications (haematomas) occurred in 7/110 VAEs (6%), whereas 8/110 patients had a fibroadenoma recurrence at 6-month follow-up, resulting in a 93% technical efficacy (102/110 VAEs). All patients available for telephonic follow-up (104/104, 100%) reported high satisfaction with VAE results.
Conclusion: US-guided VAE is a safe and effective procedure for the excision of fibroadenomas, representing a viable alternative to surgery, with a low complication rate and high patient satisfaction.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Breast; Fibroadenoma; US; Vacuum-assisted excision
تواريخ الأحداث: Date Created: 20230802 Date Completed: 20231004 Latest Revision: 20231006
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10547646
DOI: 10.1007/s11547-023-01684-9
PMID: 37530965
قاعدة البيانات: MEDLINE
الوصف
تدمد:1826-6983
DOI:10.1007/s11547-023-01684-9