Minimally invasive breast surgery: vacuum-assisted core biopsy
https://doi.org/10.17650/1994-4098-2017-13-1-20-24
Abstract
Fibrocystic breast disease is diagnosed in 20 % of women. Morphological verification of breast lumps is an important part of monitoring of these patients.
Study objective. To study the role of vacuum-assisted core biopsy (VAB) in differential diagnosis of fibrocystic breast disease.
Materials and methods. In 2014 in Innomed plus clinic the VAB method for tumor diagnostics was introduced for the first time in the Primorsky
Region. We studied application of VAB in 22 patients with a diagnosis of nonpalpable breast lesion.
Results. Relapse rate for VAB is 4.5 %, complication rate in the form of postoperative hematomas is 22.7 %, but these complications do not increase duration of rehabilitation and are not clinically relevant.
Conclusion. VAB is a minimally invasive surgical approach which allows to collect the same volume of tumor tissue as sectoral resection. The benefits of the method are better cosmetic results and shorter rehabilitation period with comparable complication rate. This allows to use VAB not only for diagnostic purposes but as a treatment for benign breast tumors.
Study objective. To study the role of vacuum-assisted core biopsy (VAB) in differential diagnosis of fibrocystic breast disease.
Materials and methods. In 2014 in Innomed plus clinic the VAB method for tumor diagnostics was introduced for the first time in the Primorsky
Region. We studied application of VAB in 22 patients with a diagnosis of nonpalpable breast lesion.
Results. Relapse rate for VAB is 4.5 %, complication rate in the form of postoperative hematomas is 22.7 %, but these complications do not increase duration of rehabilitation and are not clinically relevant.
Conclusion. VAB is a minimally invasive surgical approach which allows to collect the same volume of tumor tissue as sectoral resection. The benefits of the method are better cosmetic results and shorter rehabilitation period with comparable complication rate. This allows to use VAB not only for diagnostic purposes but as a treatment for benign breast tumors.
About the Authors
A. V. Goncharov
Pacific State Medical University, Mastology Center, Innomed plus, Primorsky Regional Oncology Center
Russian Federation
Russian Federation
V. I. Apanasevich
Pacific State Medical University, Mastology Center, Innomed plus,
Russian Federation
Russian Federation
Yu. P. Mordvinov
Pacific State Medical University, Mastology Center
Russian Federation
Russian Federation
E. G. Pavlyuk
Innomed plus
Russian Federation
Russian Federation
References
1. Беспалов В. Г., Травина М. Л. Фиброзно-кистозная болезнь и риск рака молочной железы (обзор литературы). Опухоли женской репродуктивной системы 2015;11(4):58–70. [Bespalov V.G., Travina M.L. Fibrocystic disease and breast cancer risk (а review of literature). Opuholi zhenskoy reproduktivnoy sistemy = Women Reproductive System Tumors 2015;11(4):58–70. (In Russ.)].
2. Высоцкая И. В., Летягин В. П., Черенков В. Г. и др. Клинические рекомендации Российского общества онкомаммологов по профилактике рака молочной железы, дифференциальной диагностике, лечению предопухолевых и доброкачественных заболеваний молочных желез. Опухоли женской репродуктивной системы 2016;12(3): 43–52. [Vysotskaya I.V., Letyagin V.P., Cherenkov V.G. et al. Clinical guidelines of the Russian Society of Oncomammologists for the prevention of breast cancer, differential diagnosis, treatment of precancerous and benign breast diseases. Opuholi zhenskoy reproduktivnoy sistemy = Women Reproductive System Tumors 2016;12(3):43–52. (In Russ.)].
3. Мордвинов Ю. П., Апанасевич В. И., Королев Д. Н. Ультразвуковая диагностика непальпируемых образований молочной железы. Человек и лекарство: Материалы IX Дальневосточного медицинского конгресса, приложение к Тихоокеанскому медицинскому журналу. Владивосток: Медицина Дальнего Востока 2012;3:62–3. [Mordvinov Yu.P., Apanasevich V.I., Korolev D.N. Ultrasound diagnostics of nonpalpable breast lesions.Human and Medicine: Proceedings of the IX Far-Eastern Medical Congress, Addendum to the Pacific Medical Journal. Vladivostok: Medicina Dalnego Vostoka 2012;3:62–3. (In Russ.)].
4. Рожкова Н.И., Бурдина Н.И., Меских Е.В. Диффузные доброкачественные заболевания молочной железы. Диагностика и лечение: руководство для врачей. Под ред. В. А. Солодкого, Н. И. Рожковой. М.: Специальное издво мед. книг, 2012. 43 с. [Rozhkova N.I., Burdina N.I., Meskikh E.V. Diffuse benign breast diseases. Diagnostics and treatment: Guidelines for doctors. Eds. V.A. Solodkiy, N. I. Rozhkova. Moscow: Specialnoe Izdatelstvo Medicinskikh Knig, 2012, 43 p. (In Russ.)].
5. Семинар по клинической маммологии. Под ред. М. И. Давыдова и В. П. Летягина. М.: АБВ-пресс, 2006. [Seminar on clinical mastology. Eds. M.I. Davidov, B. P. Letyagin. Moscow: ABV-Press, 2006. (In Russ.)].
6. Tice J.A., Miglioretti D. L., Li C. S. et al. Breast Density and Benign Breast Disease: Risk Assessment to Identify Women at High Risk of Breast Cancer. J Clin Oncol 2015;33(28):3137–43. DOI: 10.1200/JCO.2015.60.8869.
7. Zhang Y. J., Wei L., Li J. et al. Status quo and development trend of breast biopsy technology. Gland Surg 2013;2(1):15–24. DOI: 10.3978/j.issn.2227-684X.2013.02.01. 8. Nakano S., Otsuka M., Mibu A., Oinuma T. Significance of fine needle aspiration cytology and vacuum-assisted core needle biopsy for small breast lesions. Clinical Breast Cancer 2015;15(1):23–6. DOI: 10.1016/j.clbc.2014.07.001.
8. Абунагимов В. М. Опыт применения вакуумной аспирационной биопсии на аппарате «Маммотом НН» и оценка отдаленных эффектов у больных с узловыми образованиями молочных желез в БУ «Сургутская ОКБ». Здравоохранение Югры: опыт и инновации 2016; С:49–55. [Abunagimov V. M. Experience of vacuum-assisted breast biopsy application using Mammotome NN device and evaluation of long-term effects in patients with fibrocystic breast diseases in the Surgut Regional Clinical Hospital. Zdravookhranenie Yugry: opyt i innovacii = Yugra Healthcare: Expеrience and Innovations 2016;C:49–55. (In Russ.)].
9. Куликов В. Г., Яковец Е. А., Александрова О. Н. и др. Маммотомия как актуальный метод диагностики и лечения доброкачественных образований молочных желез. Медицина и образование в Сибири 2012;6:31. [Kulikov V.G., Yakovets E.A., Aleksandrova O.N. et al. Mammotome as a modern method for diagnostics and treatment of benign breast tumors. Medicina i obrazovanie v Sibiri = Medicine and Education in Siberia 2012;6:31. (In Russ.)].
10. Яковец Е. А., Куликов В. Г. Инновационные подходы в хирургии молочной железы. Современные проблемы науки и образования 2015;1–1:1301. [Yakovets E.A., Kulikov V.G. Innovative approaches in breast surgery. Sovremennie problemy nauki i obrazovaniya = Modern Problems of Science and Education 2015;1–1:1301. (In Russ.)].
11. Singh A., Nigam J. S., Vatsala M. and Singh P. Diagnosis of a Nonpalpable Intraductal Papilloma without RadiologicalAbnormality by Nipple Discharge Smear Examination: A Case Report. Breast Cancer (Auckl) 2014;8:69–72. DOI: 10.4137/BCBCR.S14914.
12. Абунагимов В.М., Демидов С.М., Демидов Д.А. Оптимизация хирургических методов вторичной профилактики рака молочной железы. Уральский медицинский журнал 2012;4:70–3. [Abunagimov V. M., Demidov S. M., Demidov D. A. Optimization of surgical methods for secondary breast cancer prevention. Uralskiy medicinskiy zhurnal = Ural Medical Journal 2012;4:70–3. (In Russ.)]
Review
For citations:
Goncharov A.V., Apanasevich V.I., Mordvinov Yu.P., Pavlyuk E.G. Minimally invasive breast surgery: vacuum-assisted core biopsy. Tumors of female reproductive system. 2017;13(1):20-24. (In Russ.) https://doi.org/10.17650/1994-4098-2017-13-1-20-24
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