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Image-guided Microinvasive Percutaneous Treatment of Breast Lesions: Where Do We Stand?
Image-guided Microinvasive Percutaneous Treatment of Breast Lesions: Where Do We Stand?
- Source :
- Radiographics : a review publication of the Radiological Society of North America, Inc. 41(4)
- Publication Year :
- 2021
-
Abstract
- Treatment of breast lesions has evolved toward the use of less-invasive or minimally invasive techniques. Minimally invasive treatments destroy focal groups of cells without surgery; hence, less anesthesia is required, better cosmetic outcomes are achieved because of minimal (if any) scarring, and recovery times are shorter. These techniques include cryoablation, radiofrequency ablation, microwave ablation, high-intensity focused US, laser therapy, vacuum-assisted excision, and irreversible electroporation. Each modality involves the use of different mechanisms and requires specific considerations for application. To date, only cryoablation and vacuum-assisted excision have received U.S. Food and Drug Administration approval for treatment of fibroadenomas and have been implemented as part of the treatment algorithm by the American Society of Breast Surgeons. Several clinical studies on this topic have been performed on outcomes in patients with breast cancer who were treated with these techniques. The results are promising, with more data for radiofrequency ablation and cryoablation available than for other minimally invasive methods for treatment of early-stage breast cancer. Clinical decisions should be made on a case-by-case basis, according to the availability of the technique. MRI is the most effective imaging modality for postprocedural follow-up, with the pattern of enhancement differentiating residual or recurrent disease from postprocedural changes. ©RSNA, 2021.
- Subjects :
- medicine.medical_specialty
Percutaneous
Radiofrequency ablation
business.industry
medicine.medical_treatment
Microwave ablation
Cryoablation
Breast Neoplasms
Irreversible electroporation
medicine.disease
Cryosurgery
Magnetic Resonance Imaging
law.invention
Breast cancer
law
Fibroadenoma
medicine
Recurrent disease
Humans
Radiology, Nuclear Medicine and imaging
In patient
Female
Radiology
business
Subjects
Details
- ISSN :
- 15271323
- Volume :
- 41
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Radiographics : a review publication of the Radiological Society of North America, Inc
- Accession number :
- edsair.doi.dedup.....71a59091bd9da34d4461ac7717b935f8