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High-Risk Breast Lesions Diagnosed by Ultrasound-Guided Vacuum-Assisted Excision.
- Source :
-
World Journal of Surgery . May2023, Vol. 47 Issue 5, p1247-1252. 6p. - Publication Year :
- 2023
-
Abstract
- Purpose: The aim of this study was to analyze the role of ultrasound-guided vacuum-assisted excision (US-guided VAE) in the treatment of high-risk breast lesions and to evaluate the clinical and US features of the patients associated with recurrence or development of malignancy. Materials and methods: Between April 2010 and September 2021, 73 lesions of 73 patients underwent US-guided VAE and were diagnosed with high-risk breast lesions. The incidence of recurrence or development of malignancy for high-risk breast lesions was evaluated at follow-up period. The clinical and US features of the patients were analyzed to identify the factors affecting the recurrence or development of malignancy rate. Results: Only benign phyllodes tumors on US-guided VAE showed recurrences, while other high-risk breast lesions that were atypical ductal hyperplasia (ADH), lobular neoplasia (atypical lobular hyperplasia/lobular carcinoma in situ), radial scar, and flat epithelial atypia did not show recurrences or malignant transformation. The recurrence rate of the benign phyllodes tumor was 20.8% (5/24) in a mean follow-up period of 34.3 months. The recurrence rate of benign phyllodes tumor with distance from nipple of less than 1 cm was significantly higher than that of lesions with distance from nipple of more than 1 cm (75% vs. 10%, p < 0.05). Conclusions: Benign phyllodes tumors without concurrent breast cancer could be safely followed up instead of surgical excision after US-guided VAE when the lesions were classified as BI-RADS 3 or 4A by US. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03642313
- Volume :
- 47
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- World Journal of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 162869684
- Full Text :
- https://doi.org/10.1007/s00268-023-06930-9