Minimally invasive breast surgery: vacuum-assisted core biopsy

Abstract

Fibrocystic breast disease is diagnosed in 20 % of women. Morphological verification of breast lumps is an important part of monitoring of these patients. Study objective. To study the role of vacuum-assisted core biopsy (VAB) in differential diagnosis of fibrocystic breast disease. Materials and methods. In 2014 in Innomed plus clinic the VAB method for tumor diagnostics was introduced for the first time in the Primorsky Region. We studied application of VAB in 22 patients with a diagnosis of nonpalpable breast lesion. Results. Relapse rate for VAB is 4.5 %, complication rate in the form of postoperative hematomas is 22.7 %, but these complications do not increase duration of rehabilitation and are not clinically relevant. Conclusion. VAB is a minimally invasive surgical approach which allows to collect the same volume of tumor tissue as sectoral resection. The benefits of the method are better cosmetic results and shorter rehabilitation period with comparable complication rate. This allows to use VAB not only for diagnostic purposes but as a treatment for benign breast tumors.