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The utilization of an ultrasound-guided 8-gauge vacuum-assisted breast biopsy system as an innovative approach to accomplishing complete eradication of multiple bilateral breast fibroadenomas.

Povoski SP - World J Surg Oncol (2007)

Bottom Line: Over a ten and one-half month period of time, 14 of these 16 breast lesions were removed under ultrasound guidance during a total of 11 separate 8-gauge Mammotome(R) excision procedures performed during seven separate sessions.A histopathologic diagnosis of fibroadenoma and/or fibroadenomatous changes was confirmed at all lesion excision sites.As such, this innovative approach is highly recommended in similar appropriately selected patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Surgical Oncology, Department of Surgery, Arthur G, James Cancer Hospital and Richard J, Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA. stephen.povoski@osumc.edu.

ABSTRACT

Background: Ultrasound-guided vacuum-assisted breast biopsy technology is extremely useful for diagnostic biopsy of suspicious breast lesions and for attempted complete excision of appropriately selected presumed benign breast lesions.

Case presentation: A female patient presented with 16 breast lesions (eight within each breast), documented on ultrasound and all presumed to be fibroadenomas. Over a ten and one-half month period of time, 14 of these 16 breast lesions were removed under ultrasound guidance during a total of 11 separate 8-gauge Mammotome(R) excision procedures performed during seven separate sessions. Additionally, two of these 16 breast lesions were removed by open surgical excision. A histopathologic diagnosis of fibroadenoma and/or fibroadenomatous changes was confirmed at all lesion excision sites. Interval follow-up ultrasound imaging revealed no evidence of a residual lesion at the site of any of the 16 original breast lesions.

Conclusion: This report describes an innovative approach of utilizing ultrasound-guided 8-gauge vacuum-assisted breast biopsy technology for assisting in achieving complete eradication of multiple bilateral fibroadenomas in a patient who presented with 16 documented breast lesions. As such, this innovative approach is highly recommended in similar appropriately selected patients.

No MeSH data available.


Related in: MedlinePlus

Bilateral digital mammography. Upper left panel is right cranial-caudal view. Upper right panel is left cranial-caudal view. Lower left panel is right medial-lateral-oblique view. Lower right panel is left medial-lateral-oblique view. Four individual microclips are visible within the right breast and eight individual microclips are visible within the left breast.
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Figure 4: Bilateral digital mammography. Upper left panel is right cranial-caudal view. Upper right panel is left cranial-caudal view. Lower left panel is right medial-lateral-oblique view. Lower right panel is left medial-lateral-oblique view. Four individual microclips are visible within the right breast and eight individual microclips are visible within the left breast.

Mentions: Approximately 18 months after the first ultrasound-guided 8-gauge vacuum-assisted excision procedure and approximately 8 month after the last ultrasound-guided 8-gauge vacuum-assisted excision procedure, the patient returned for interval follow-up and underwent bilateral digital mammography and bilateral whole breast ultrasound. Bilateral digital mammography (Figure 4) showed multiple clips within both breasts marking the areas of the 11 separate ultrasound-guided 8-gauge vacuum-assisted excision procedures that were performed during seven separate ultrasound-guided 8-gauge vacuum-assisted excision sessions. Bilateral whole breast ultrasound showed no residual ultrasound lesions at any of the sites of the 11 separate ultrasound-guided 8-gauge vacuum-assisted excision procedures and no residual ultrasound lesions at the sites of the two surgically excised right breast fibroadenomas. Likewise, bilateral whole breast ultrasound showed no new apparent ultrasound lesions elsewhere in either breast.


The utilization of an ultrasound-guided 8-gauge vacuum-assisted breast biopsy system as an innovative approach to accomplishing complete eradication of multiple bilateral breast fibroadenomas.

Povoski SP - World J Surg Oncol (2007)

Bilateral digital mammography. Upper left panel is right cranial-caudal view. Upper right panel is left cranial-caudal view. Lower left panel is right medial-lateral-oblique view. Lower right panel is left medial-lateral-oblique view. Four individual microclips are visible within the right breast and eight individual microclips are visible within the left breast.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2147012&req=5

Figure 4: Bilateral digital mammography. Upper left panel is right cranial-caudal view. Upper right panel is left cranial-caudal view. Lower left panel is right medial-lateral-oblique view. Lower right panel is left medial-lateral-oblique view. Four individual microclips are visible within the right breast and eight individual microclips are visible within the left breast.
Mentions: Approximately 18 months after the first ultrasound-guided 8-gauge vacuum-assisted excision procedure and approximately 8 month after the last ultrasound-guided 8-gauge vacuum-assisted excision procedure, the patient returned for interval follow-up and underwent bilateral digital mammography and bilateral whole breast ultrasound. Bilateral digital mammography (Figure 4) showed multiple clips within both breasts marking the areas of the 11 separate ultrasound-guided 8-gauge vacuum-assisted excision procedures that were performed during seven separate ultrasound-guided 8-gauge vacuum-assisted excision sessions. Bilateral whole breast ultrasound showed no residual ultrasound lesions at any of the sites of the 11 separate ultrasound-guided 8-gauge vacuum-assisted excision procedures and no residual ultrasound lesions at the sites of the two surgically excised right breast fibroadenomas. Likewise, bilateral whole breast ultrasound showed no new apparent ultrasound lesions elsewhere in either breast.

Bottom Line: Over a ten and one-half month period of time, 14 of these 16 breast lesions were removed under ultrasound guidance during a total of 11 separate 8-gauge Mammotome(R) excision procedures performed during seven separate sessions.A histopathologic diagnosis of fibroadenoma and/or fibroadenomatous changes was confirmed at all lesion excision sites.As such, this innovative approach is highly recommended in similar appropriately selected patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Surgical Oncology, Department of Surgery, Arthur G, James Cancer Hospital and Richard J, Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA. stephen.povoski@osumc.edu.

ABSTRACT

Background: Ultrasound-guided vacuum-assisted breast biopsy technology is extremely useful for diagnostic biopsy of suspicious breast lesions and for attempted complete excision of appropriately selected presumed benign breast lesions.

Case presentation: A female patient presented with 16 breast lesions (eight within each breast), documented on ultrasound and all presumed to be fibroadenomas. Over a ten and one-half month period of time, 14 of these 16 breast lesions were removed under ultrasound guidance during a total of 11 separate 8-gauge Mammotome(R) excision procedures performed during seven separate sessions. Additionally, two of these 16 breast lesions were removed by open surgical excision. A histopathologic diagnosis of fibroadenoma and/or fibroadenomatous changes was confirmed at all lesion excision sites. Interval follow-up ultrasound imaging revealed no evidence of a residual lesion at the site of any of the 16 original breast lesions.

Conclusion: This report describes an innovative approach of utilizing ultrasound-guided 8-gauge vacuum-assisted breast biopsy technology for assisting in achieving complete eradication of multiple bilateral fibroadenomas in a patient who presented with 16 documented breast lesions. As such, this innovative approach is highly recommended in similar appropriately selected patients.

No MeSH data available.


Related in: MedlinePlus