Bài thuyết trình Evaluation of the initial efficacy in the removal of benign breast lesions by vacuum-assisted biopsy in radiology center of Bach Mai hospital
Evaluation of the initial efficacy in the removal of
benign breast lesions by vacuum-assisted biopsy
in radiology center of Bach Mai hospital
Dr. Lê Nguyệt Minh
Radiology center of Bach Mai hospital
Introduction
• Benign breast lesions is one of the
common diseases:
– America: 1 million women diagnosed benign
breast lesions/ year
– Thailand: 73% benign breast lesions / study of
2532 patients biopsied.
• Pain, discomfort in breast is sensitive
reduce the quality of life
Treatm
Vacuum- assisted breast
biopsy (VABB)
Aim
• to evaluate the initial efficacy in the
removal of benign breast lesions by
vacuum-assisted biopsy
Excision surgery
… leave a scar
Vacuum- assisted breast biopsy
(VABB)
• 11G ~ 7G
• Using Vacuum and Rotating cutter
• One insertion and Serial sampling
• Enough specimen for Pathology
• Excision of Benign Tumor
After VABB
Vacuum Assisted Breast Biopsy
1995
1996
1998
2002
FDA
Fred Burbank,
Mark Retchard
Zannis
Total lesionremoval
High asthetic
Meta analysis of efficacy and safety between Mammotome vacuum-assisted
breast biopsy and open excision for benign breast tumor
Boni Ding, Daojin Chen, Xiaorong Li, Hongyan Zhang, Yujun Zhao
Department of General Surgery, Third Xiangya Hospital, Central South University, Changsha 410013, China Correspondence to: Yujun Zhao. Organ
Transplantation Center, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Gland Surgery 2013;2(2):69-79
Indication of VABB
• Diagnostic indications:
– Biopsy small lesion (<5mm) – ultrasound visible
– Biopsy suspicious grouped microcalcification
• Therapeutic indications:
– Remove symptomatic BIRADS 3-lesion,
probably benign, woman are not willing to
follow-up
– Remove intraductal papilloma which cause
nipple discharge
Intraindications
• Absolute intraindications:
– Allergy to local anethesia
– Severe systematic disease
– Coagulation disorder
– Local inflamation
– Patient is too nervous, can not corporate
• Relative intraindication:
– Cancer in other location
Subjects and method
• Prospective cohort study
– From January to June 2018
– 21 woman with 31 lesions
– Data and pre-, during , post procedure images
stored in PACS
– Assess complications post procedure.
Results
• Characteristics of subjects
– Mean of age 37,5± 11,7
Symptoms
Number of Percentage %
lesion
Pain
30
96,8
63,3
Pain related menstrual
period
19
27
Mass papable
87,1
8. Oluwole S.F. và Freeman H.P. (1979). Analysis of benign breast lesions in blacks. Am J Surg, 137(6), 786–789.
9. 9. Park H.-L., Kwak J.-Y., Lee S.-H. và cộng sự. (2005). Excision of Benign Breast Disease by Ultrasound-Guided Vacuum
Assisted Biopsy Device (Mammotome). Ann Surg Treat Res, 68(2), 96–101.
Result
• Result of pathology
Pathoanatomy
Fibroadenoma
Number of lesions
Percent %
54,8
17
08
Fibrocystic breast
disease
25,8
abscess
01
01
01
03,2
03,2
03,2
Sclerosing adenosis
Papiloma intra
tubular
others
03
31
09,7
100
Tꢀng
Result
Time of
Amount of Lidocain 2%
Size on
pha 1:5 (ml) ultrasound
(mm)
biopsy (min) samples
Mean ± SD 12,3 ± 8,3 10,8 ± 6,7
10,6 ± 4,1
11,7 ±5,4
Mode
Minimum
Maximum
Total
10,0
5
8,0
3
10,0
5
5
22
31
48
31
335
20
383
328
11.
Clinical application of mammotome minimally invasive biopsy system for excision of 560 benign breast lumps--《Lingnan
Modern Clinics in Surgery》2007年05期. <http://en.cnki.com.cn/Article_en/CJFDTOTAL-LNWK200705013.htm>, accessed:
04/06/2018.
Results
• There is a proportional correlation between the size of the
lesions and other factors such as the amount of anesthetics
used, the volume of the hematoma after the biopsy, the time
of wound removal and the size of the biopsy needle
Correlation between
the volume of lesion
R
P
Size of biopsy needle Test Mann-Whitney U = 84 0,185
Volume of hematoma 0,467
Amount of anesthetic 0,674
The time of biopsy 0,659
0,008
0,000
0,000
Tải về để xem bản đầy đủ
Bạn đang xem 20 trang mẫu của tài liệu "Bài thuyết trình Evaluation of the initial efficacy in the removal of benign breast lesions by vacuum-assisted biopsy in radiology center of Bach Mai hospital", để tải tài liệu gốc về máy hãy click vào nút Download ở trên
File đính kèm:
- bai_thuyet_trinh_evaluation_of_the_initial_efficacy_in_the_r.pdf