An evaluation of a 10-gauge vacuum-assisted system for ultrasound-guided excision of clinically benign breast lesions

Abstract

The aim of this study was to evaluate a 10-gauge vacuum-assisted system for the excision of clinically benign breast lesions. The minimal excision of 245 lesions in 162 patients was performed with VACORA vacuum-assisted system under the guidance of ultrasound between July 2007 and April 2008. The lesions were category 3 lesions as determined by ultrasound imaging according to Breast Imaging Reporting and Data System (BI-RADS) (n=208) or had been confirmed as benign by a previous core-needle biopsy (n=37). As many as 244 lesions were demonstrated to be benign and one case was demonstrated to be malignant by pathology after resection. In the 244 benign lesions, 220 lesions were excised completely as demonstrated by the follow-up ultrasound examination. The malignant lesion was managed with surgical excision. The 10-gauge vacuum-assisted system is highly successful for the excision of benign breast lesions; it is an alternative tool for minimal treatment of benign breast lesions.

Breast Lesions with Imaging-Histologic Discordance During 16-Gauge Core Needle Biopsy System: would Vacuum-Assisted Removal get Significantly More Definitive Histologic Diagnosis Than Vacuum-Assisted Biopsy?

“…Our preliminary study has demonstrated the successful application of a 10‐gauge VAB system on the resection of benign breast lesions (21). Recently, a new vaccum‐assisted biopsy system with 7‐gauge needle emerged, which could provide a continuous resection function.…”

Ultrasound Guided Therapeutic Excisional Vacuum Assisted Biopsy in Breast Fibroadenomas

“…In the literature there are studies reporting this as the only correlation (6,7,14), but there are also studies which did not find this relationship (9).…”

“…Lesions, if not excised, require follow-up and can cause anxiety in patients (6). US guided VAB of breast lesions does not require hospitalization, is less invasive and cosmetically more pleasing (7). Especially in lesions smaller than 2 cm in size, success rates of 95-100% are reported.…”

Adjunctive imprint cytology of core needle biopsy specimens improved diagnostic accuracy for breast cancer

“…In many cases of non-invasive ductal carcinoma, the tumors could not be identified clearly on US (Evans 1992) or were found to display predominantly para-tumoral features such as ductal dilatation or irregularities (Li et al 2010). All of these features can be evaluated before performing CNB, and alternate methods should be implemented such as MMT or Vacora® (Salem et al 2009; Wang et al 2009; Hauth et al 2008), as stated in the text. On the other hand, several factors might disturb the process of acquiring appropriate tissue specimens for CNB, even when a clear view of the subject is achieved.…”