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Tucunduva TCDM, Bueno ATP, Chala LF, Lee MV, Torres US, Sato LT, Shimizu C, de Mello GGN. Prone Tomosynthesis-guided Breast Biopsy: A Primer. Radiographics 2024; 44:e230192. [PMID: 38781090 DOI: 10.1148/rg.230192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Affiliation(s)
- Tatiana Cardoso de Mello Tucunduva
- From the Department of Radiology, Division of Breast Imaging, Grupo Fleury, Rua Cincinato Braga 282, São Paulo, SP, Brazil 01333-010 (T.C.d.M.T., A.T.P.B., L.F.C., U.S.T., L.T.S., C.S., G.G.N.d.M.); Universidade Federal de São Paulo, São Paulo, Brazil (A.T.P.B., G.G.N.d.M.); and Washington University School of Medicine, St Louis, Mo (M.V.L., C.S.)
| | - André Tito Pereira Bueno
- From the Department of Radiology, Division of Breast Imaging, Grupo Fleury, Rua Cincinato Braga 282, São Paulo, SP, Brazil 01333-010 (T.C.d.M.T., A.T.P.B., L.F.C., U.S.T., L.T.S., C.S., G.G.N.d.M.); Universidade Federal de São Paulo, São Paulo, Brazil (A.T.P.B., G.G.N.d.M.); and Washington University School of Medicine, St Louis, Mo (M.V.L., C.S.)
| | - Luciano Fernandes Chala
- From the Department of Radiology, Division of Breast Imaging, Grupo Fleury, Rua Cincinato Braga 282, São Paulo, SP, Brazil 01333-010 (T.C.d.M.T., A.T.P.B., L.F.C., U.S.T., L.T.S., C.S., G.G.N.d.M.); Universidade Federal de São Paulo, São Paulo, Brazil (A.T.P.B., G.G.N.d.M.); and Washington University School of Medicine, St Louis, Mo (M.V.L., C.S.)
| | - Michelle V Lee
- From the Department of Radiology, Division of Breast Imaging, Grupo Fleury, Rua Cincinato Braga 282, São Paulo, SP, Brazil 01333-010 (T.C.d.M.T., A.T.P.B., L.F.C., U.S.T., L.T.S., C.S., G.G.N.d.M.); Universidade Federal de São Paulo, São Paulo, Brazil (A.T.P.B., G.G.N.d.M.); and Washington University School of Medicine, St Louis, Mo (M.V.L., C.S.)
| | - Ulysses S Torres
- From the Department of Radiology, Division of Breast Imaging, Grupo Fleury, Rua Cincinato Braga 282, São Paulo, SP, Brazil 01333-010 (T.C.d.M.T., A.T.P.B., L.F.C., U.S.T., L.T.S., C.S., G.G.N.d.M.); Universidade Federal de São Paulo, São Paulo, Brazil (A.T.P.B., G.G.N.d.M.); and Washington University School of Medicine, St Louis, Mo (M.V.L., C.S.)
| | - Lucy Tiemi Sato
- From the Department of Radiology, Division of Breast Imaging, Grupo Fleury, Rua Cincinato Braga 282, São Paulo, SP, Brazil 01333-010 (T.C.d.M.T., A.T.P.B., L.F.C., U.S.T., L.T.S., C.S., G.G.N.d.M.); Universidade Federal de São Paulo, São Paulo, Brazil (A.T.P.B., G.G.N.d.M.); and Washington University School of Medicine, St Louis, Mo (M.V.L., C.S.)
| | - Carlos Shimizu
- From the Department of Radiology, Division of Breast Imaging, Grupo Fleury, Rua Cincinato Braga 282, São Paulo, SP, Brazil 01333-010 (T.C.d.M.T., A.T.P.B., L.F.C., U.S.T., L.T.S., C.S., G.G.N.d.M.); Universidade Federal de São Paulo, São Paulo, Brazil (A.T.P.B., G.G.N.d.M.); and Washington University School of Medicine, St Louis, Mo (M.V.L., C.S.)
| | - Giselle Guedes Netto de Mello
- From the Department of Radiology, Division of Breast Imaging, Grupo Fleury, Rua Cincinato Braga 282, São Paulo, SP, Brazil 01333-010 (T.C.d.M.T., A.T.P.B., L.F.C., U.S.T., L.T.S., C.S., G.G.N.d.M.); Universidade Federal de São Paulo, São Paulo, Brazil (A.T.P.B., G.G.N.d.M.); and Washington University School of Medicine, St Louis, Mo (M.V.L., C.S.)
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Yoen H, Chung HA, Lee SM, Kim ES, Moon WK, Ha SM. Hemorrhagic Complications Following Ultrasound-Guided Breast Biopsy: A Prospective Patient-Centered Study. Korean J Radiol 2024; 25:157-165. [PMID: 38288896 PMCID: PMC10831294 DOI: 10.3348/kjr.2023.0874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 11/13/2023] [Accepted: 11/29/2023] [Indexed: 02/01/2024] Open
Abstract
OBJECTIVE We aimed to evaluate the clinical and imaging factors associated with hemorrhagic complications and patient discomfort following ultrasound (US)-guided breast biopsy. MATERIALS AND METHODS We prospectively enrolled 94 patients who were referred to our hospital between June 2022 and December 2022 for US-guided breast biopsy. After obtaining informed consent, two breast radiologists independently performed US-guided breast biopsy and evaluated the imaging findings. A hemorrhagic complication was defined as the presence of bleeding or hematoma on US. The patients rated symptoms of pain, febrile sensation, swelling at the biopsy site, and dyspnea immediately, 20 minutes, and 2 weeks after the procedure on a visual analog scale, with 0 for none and 10 for the most severe symptoms. Additional details recorded included those of nausea, vomiting, bleeding, bruising, and overall satisfaction score. We compared the clinical symptoms, imaging characteristics, and procedural features between patients with and those without hemorrhagic complications. RESULTS Of 94 patients, 7 (7%) developed hemorrhagic complications, while 87 (93%) did not. The complication resolved with 20 minutes of manual compression, and no further intervention was required. Vascularity on Doppler examination (P = 0.008), needle type (P = 0.043), and lesion location (P < 0.001) were significantly different between the groups. Patients with hemorrhagic complications reported more frequent nausea or vomiting than those without hemorrhagic complications (29% [2/7] vs. 2% [2/87], respectively; P = 0.027). The overall satisfaction scores did not differ between the two groups (P = 0.396). After 2 weeks, all symptoms subsided, except bruising (50% 2/4 in the complication group and 25% [16/65] in the no-complication group). CONCLUSION US-guided breast biopsy is a safe procedure with a low complication rate. Radiologists should be aware of hemorrhagic complications, patient discomfort, and overall satisfaction related to this procedure.
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Affiliation(s)
- Heera Yoen
- Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea
| | - Hyun-Ah Chung
- Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea
| | - So-Min Lee
- Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea
| | - Eun-Sung Kim
- Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea
| | - Woo Kyung Moon
- Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea
- Department of Radiology, Seoul National University College of Medicine, Seoul, Republic of Korea
- Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Republic of Korea
| | - Su Min Ha
- Department of Radiology, Seoul National University Hospital, Seoul, Republic of Korea
- Department of Radiology, Seoul National University College of Medicine, Seoul, Republic of Korea
- Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Republic of Korea.
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Pansa E, Guzzardi G, Santocono S, Carriero A. Vascular Complications following Vacuum-Assisted Breast Biopsy (VABB): A Case Report and Review of the Literature. Tomography 2023; 9:1246-1253. [PMID: 37489467 PMCID: PMC10366872 DOI: 10.3390/tomography9040099] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 06/05/2023] [Accepted: 06/21/2023] [Indexed: 07/26/2023] Open
Abstract
INTRODUCTION Vacuum-assisted breast biopsy (VABB) has been evaluated as a minimally invasive, safe, and accurate procedure with low complication risks; the most frequent one is the mild/moderate hematoma, which occurs with a low-frequency rate, and the majority of patients who experienced it can be treated successfully with only manual compression and dressing. Although cases of uncontrollable catastrophic bleeding are exceedingly rare, local breast vessel involvement is a concrete risk, even in patients with no bleeding propensity. CASE PRESENTATION In this article, we aimed to describe a 60 years-old woman who, following VABB, experienced a massive hematoma without external bleeding and was successfully treated with embolization. The woman was called back for a cluster of suspicious microcalcifications identified in the left breast's upper-outer quadrant; however, following histopathological analysis, the few samples collected were negative. She had a silent past medical history, 100% performance status, and no active pharmacotherapy. Approximately 15-30 min after VABB, the patient complained of weakness, pain, and lipothymia. A physical examination revealed a massive hematoma without external bleeding. Clinical data reported PaO 65/40 mmHg and blood chemistry Hb < 10 g/dL. The emergency team was alerted to stabilize the patient, and after that, the breast hemorrhage was controlled by endovascular embolization. Despite this being a rare occurrence, it is important to draw up and follow an appropriate protocol to ensure proper patient management and early treatment. DISCUSSION This case illustrates the prompt and accurate management of a rare complication following VABB. Due to the very high number of patients undergoing this particular procedure, we aim to point out the concrete risk of vascular injury; other similar cases are described to support our thesis and provide different clinical manifestations of this rare occurrence.
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Affiliation(s)
- Ernesto Pansa
- Specializzando in Radiodiagnostica UPO, 28100 Novara, Italy
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Wang H, Wang Q, Zhang Y, Peng Y. Value of ultrasound BI‑RADS classification in preoperative evaluation of the ultrasound‑guided Mammotome‑assisted minimally invasive resection of breast masses: A retrospective analysis. Exp Ther Med 2023; 25:143. [PMID: 36911377 PMCID: PMC9995844 DOI: 10.3892/etm.2023.11842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2022] [Accepted: 01/18/2023] [Indexed: 02/16/2023] Open
Abstract
The American College of Radiology Breast Imaging Reporting and Data System (BI-RADS) classification has been used for the diagnosis of breast masses for several decades and constantly updated, but the terminology used to describe breast ultrasound findings is still evolving and a great amount of large sample data is necessary to verify and improve ultrasound BI-RADS. The objective of the present study was to explore the value of ultrasound Breast Imaging Reporting and Data System (US BI-RADS) classification in the preoperative evaluation of the US-guided Mammotome-assisted minimally invasive resection of breast masses. A total of 1,028 patients with 1,341 breast masses from a single hospital were selected for retrospective analysis. All patients underwent minimally invasive resection using a US-guided Mammotome device, and postoperative pathological examinations were performed for all samples. The preoperative US BI-RADS classification and postoperative pathological examination results were compared and analyzed. A receiver operating characteristic (ROC) curve was used to analyze the preoperative evaluation efficacy of the US BI-RADS classification in US-guided Mammotome-assisted minimally invasive breast mass resection. Among the 1,341 breast masses that underwent resection, 1,307 were benign and 34 were malignant. The specificity, sensitivity, accuracy, positive predictive value and negative predictive value of the US BI-RADS classification in the preoperative diagnosis of malignant breast masses were 83.47, 100.00, 83.89, 13.60 and 100.00%, respectively, and the area under the ROC curve was 0.917. It may be concluded that the US BI-RADS classification has a good preoperative diagnostic performance and can provide an accurate assessment prior to Mammotome-assisted minimally invasive resection. It may help surgeons to make reasonable decisions for subsequent therapy and therefore is worthy of further clinical use.
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Affiliation(s)
- Honghong Wang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China
| | - Qian Wang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China
| | - Yadi Zhang
- Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China
| | - Yang Peng
- Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China
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Zhou W, Luo H, Zhao H, Peng Y. Unexpected breast cancer mimicking benign lesions on ultrasound-guided vacuum-assisted excision biopsy: A retrospective cross-sectional study over a 20-year period. Front Oncol 2023; 13:1108689. [PMID: 36816915 PMCID: PMC9929534 DOI: 10.3389/fonc.2023.1108689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Accepted: 01/17/2023] [Indexed: 02/04/2023] Open
Abstract
Objectives This study investigated the occurrence rate of unexpected breast cancer (UEBC) mimicking benign lesions [Breast Imaging Reporting and Data System (BI-RADS) category 3 or 4a] using ultrasound-guided vacuum-assisted excision biopsy (US-VAEB), and explored the factors responsible for late diagnosis of T2 stage UEBC. Materials and methods We collected clinicopathologic data and preoperative US imaging features within 3 months before US-VAEB of patients who were diagnosed with UEBC from January 2002 to September 2022. The UEBC were divided into T1 and T2 stageUEBC. The US imaging features as well as clinical and pathological information of T1 and T2 stage UEBC were compared to explore the factors responsible for late diagnosis of T2 stage UEBC. Results Breast cancer was diagnosed in 91 of 19 306 patients who underwent US-VAEB. We excluded eight patients with breast cancer assigned to BI-RADS 4b category by preoperative US, and two for whom US imaging records were unavailable. Finally, we enrolled 81 patients. The occurrence rate of UEBC after US-VAEB was 0.42%(81/19296). Of the 81 cases of UEBC, 22 were at T2 stage. The ratio of T2 stage UEBC was 27.2%. The differences in risk factor of breast cancer and routine breast US screening between T1 and T2 stage UEBC were significant[96.6% (57/59) vs 81.8% (18/22), 44.1% (26/59) vs 13.6% (3/22), respectively, P<0.05). Conclusion UEBC was rarely detected by US-VAEB. Most cases of T2 stage UEBC were diagnosed late because of the absence of routine US screening and risk factors for breast cancer. Stricter clinical management regulations for breast lesions and performing regular US screening may be helpful to reduce T2 stage UEBC.
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Goudreau S, Grimm LJ, Srinivasan A, Net J, Yang R, Dialani V, Dodelzon K. Bleeding Complications After Breast Core-needle Biopsy-An Approach to Managing Patients on Antithrombotic Therapy. JOURNAL OF BREAST IMAGING 2022; 4:241-252. [PMID: 38416973 DOI: 10.1093/jbi/wbac020] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Indexed: 03/01/2024]
Abstract
Image-guided core-needle breast and axillary biopsy (CNB) is the standard-of-care procedure for the diagnosis of breast cancer. Although the risks of CNB are low, the most common complications include bleeding and hematoma formation. Post-procedural bleeding is of particular concern in patients taking antithrombotic therapy, but there is currently no widely established standard protocol in the United States to guide antithrombotic therapy management. In the face of an increasing number of patients taking antithrombotic therapy and with the advent of novel classes of anticoagulants, the American College of Radiology guidelines recommend that radiologists consider cessation of antithrombotic therapy prior to CNB on a case-by-case basis. Lack of consensus results in disparate approaches to patients on antithrombotic therapy undergoing CNB. There is further heterogeneity in recommendations for cessation of antithrombotic therapy based on the modality used for image-guided biopsy, target location, number of simultaneous biopsies, and type of antithrombotic agent. A review of the available data demonstrates the safety of continuing antithrombotic therapy during CNB while highlighting additional procedural and target lesion factors that may increase the risk of bleeding. Risk stratification of patients undergoing breast interventional procedures is proposed to guide both pre-procedural decision-making and post-procedural management. Radiologists should be aware of antithrombotic agent pharmacokinetics and strategies to minimize post-procedural bleeding to safely manage patients.
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Affiliation(s)
- Sally Goudreau
- University of Texas Southwestern Medical Center, Department of Radiology, Dallas, TX, USA
| | - Lars J Grimm
- Duke University Medical Center, Department of Radiology, Durham, NC, USA
| | | | - Jose Net
- University of Miami Miller School of Medicine, Sylvester Comprehensive Cancer Center, Miami, FL, USA
| | - Roger Yang
- Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA
| | - Vandana Dialani
- Beth Israel Lahey Health, Department of Radiology, Boston, MA, USA
| | - Katerina Dodelzon
- Weill Cornell at New York-Presbyterian, Department of Radiology, New York, NY, USA
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Clinical practice guidelines for ultrasound-guided vacuum-assisted breast biopsy: Chinese Society of Breast Surgery (CSBrS) practice guidelines 2021. Chin Med J (Engl) 2021; 134:1390-1392. [PMID: 34074845 PMCID: PMC8213308 DOI: 10.1097/cm9.0000000000001508] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
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Byun IH, Koo HK, Kim SJ, Kim HJ, Lee SW. Simultaneous Augmentation Mammoplasty and Vacuum-Assisted Breast Biopsy for Enhanced Cosmesis and Efficacy. Aesthetic Plast Surg 2020; 44:2041-2047. [PMID: 32671448 DOI: 10.1007/s00266-020-01858-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 06/27/2020] [Indexed: 11/24/2022]
Abstract
BACKGROUND In this era of expanding life expectancy and popularity of aesthetic breast surgeries, more women are likely to live more years with their augmented breasts. Thus, consistent attention to general breast health is crucial, and preoperative ultrasound is helpful to locate suspicious lesions. In this study, we present a combinative procedure of augmentation mammoplasty and vacuum-assisted breast biopsy (VABB). METHODS From January of 2018 to December of 2019, a total of 102 patients received simultaneous augmentation mammoplasty and VABB in our institute. Only patients of primary augmentation mammoplasty who received VABB on unilateral breasts were included. We sought to investigate the results of each breast and safety of adding VABB before performing augmentation within the same incision. RESULTS Among 204 breasts and implants, 28.43% were done via endoscopic transaxillary approach and 71.57% via inframammary approach. The mean implant volume was 329.34 ± 44.79 ml, and the mean follow-up period was 14.23 ± 4.64 months. All of the complication rates exhibited no statistically significant differences between the two groups. CONCLUSION Simultaneous augmentation mammoplasty and VABB prevented unnecessary scars and pain, and the complication rates did not statistically differ from those of augmentation only group. This co-operation is a safe and simple method potentially beneficial to many women interested in breast surgery. LEVEL OF EVIDENCE III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- Il Hwan Byun
- Department of Plastic and Reconstructive Surgery, DA Plastic Surgery, 125 Teheran-ro, Gangnam-gu, Seoul, Korea
| | - Hyun Kook Koo
- Department of Plastic and Reconstructive Surgery, DA Plastic Surgery, 125 Teheran-ro, Gangnam-gu, Seoul, Korea
| | - Soo Jung Kim
- Department of Plastic and Reconstructive Surgery, DA Plastic Surgery, 125 Teheran-ro, Gangnam-gu, Seoul, Korea
| | - Hye-Jin Kim
- Department of General Surgery, DA Plastic Surgery, 125 Teheran-ro, Gangnam-gu, Seoul, Korea
| | - Sang Woo Lee
- Department of Plastic and Reconstructive Surgery, DA Plastic Surgery, 125 Teheran-ro, Gangnam-gu, Seoul, Korea.
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Hu H, Zhang M, Liu Y, Li XR, Liu G, Wang Z. Mammary hamartoma: is ultrasound-guided vacuum-assisted breast biopsy sufficient for its treatment? Gland Surg 2020; 9:1278-1285. [PMID: 33224802 DOI: 10.21037/gs-20-437] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background Mammary hamartomas were mostly benign tumors with rare rate of recurrence and malignant transformation. Ultrasound (US)-guided vacuum-assisted breast biopsy (VABB) has been reported sufficiently safe in treating many breast benign tumors but remained undefined in mammary hamartoma for its usual underdiagnosis in US. Thus, this study aims to evaluate the efficiency of US-guided VABB in treating mammary hamartomas. Methods From May 2015 to March 2019, 3,388 lesions of 2,534 patients underwent percutaneous US-guided VABB, among which 31 mammary hamartomas proved by pathology were included in this study. Patients were followed up by US three, six and twelve months later, then at 1-year intervals. Lesions were classified to analyze the possible factors associated with excision rate, bleeding volume and complications. Results Of the 31 patients, recurrence was seen in 1 case in 1 year after the procedure and complete excision rate was 96.8% (30/31). The bleeding volume ranged from 1 to 15 mL (mean number ± standard deviation, 6.5±3.4 mL) and significant statistical differences were detected in patient age and the largest diameter of lesions. The main complications included pain (22.6%), hematomas (9.7%) and ecchymosis (3.2%). Conclusions US-guided VABB ensures an outstanding complete excision rate and provides an alternative solution to treat mammary hamartomas.
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Affiliation(s)
- Huayu Hu
- School of Medicine, Nankai University, Tianjin, China.,Department of General Surgery, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Mengke Zhang
- Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Yuan Liu
- Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Xi-Ru Li
- Department of General Surgery, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Gang Liu
- Department of Radiology, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Zhili Wang
- Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China
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Fang M, Liu G, Luo G, Wu T. Feasibility and safety of image-guided vacuum-assisted breast biopsy: A PRISMA-compliant systematic review and meta-analysis of 20 000 population from 36 longitudinal studies. Int Wound J 2019; 16:1506-1512. [PMID: 31531950 DOI: 10.1111/iwj.13224] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 08/26/2019] [Accepted: 08/30/2019] [Indexed: 11/30/2022] Open
Abstract
Breast cancer is a serious disease in women. We estimated the global technical success rate and complication rates of percutaneous vacuum-assisted breast biopsy (VABB). PubMed, Embase, Web of Science, and Scopus databases were retrieved up to July 2018 to find studies in which technical success rate and complication rates of VABB were available. Pooled rates were calculated according to location mode (ultrasonography [US] or mammography) and needle type (8- or 11-gauge Mammotome probes). Of the 36 articles with 20 868 cases, we found the pooled technical success rate 0.9999(0.9997, 1.0000) (I2 = 17.1%, P = .187) and low complication risks including haematoma 0.1092(0.0748, 0.1437) (I2 = 98.3%, P < .001), pain 0.0738(0.0334, 0.1141) (I2 = 95.9%, P < .001), vasovagal reflex 0.0281(0.0035, 0.0527) (I2 = 92.5%, P < .001), and infection 0.0027(-0.0019, 0.0073) (I2 = 49.8%, P = .113). In this systematic review and meta-analysis, the pooled data suggested that VABB with US or mammography could be promising for diagnosis and treatment of breast disease. Further studies were necessary to identify strategies for these findings.
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Affiliation(s)
- Ming Fang
- Department of Ultrasound, The Second Affiliated Hospital (Jiande Branch), Medical School of Zhejiang University, The First People's Hospital of Jiande, Hangzhou, China
| | - Guilin Liu
- Department of Ultrasound, The Second Affiliated Hospital (Jiande Branch), Medical School of Zhejiang University, The First People's Hospital of Jiande, Hangzhou, China
| | - Guoliang Luo
- Department of Ultrasound, The Second Affiliated Hospital (Jiande Branch), Medical School of Zhejiang University, The First People's Hospital of Jiande, Hangzhou, China
| | - Tianyu Wu
- Department of Ultrasound, The Second Affiliated Hospital (Jiande Branch), Medical School of Zhejiang University, The First People's Hospital of Jiande, Hangzhou, China
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