The Vacuum-Assisted Breast Biopsy System is an Effective Strategy for the Treatment of Gynecomastia

Qu, Su; Zhang, Wei; Li, Shuqin; He, Weili; Lu, Rongzhao; Zhang, Qing; Zhang, Jie; Wang, Ningxia

doi:10.1007/s00266-020-01931-8

Cited by 12 publications

(8 citation statements)

References 28 publications

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“…While all our patients and most cases in the literature have been females, Atallah NG has reported the first case of US-VAB for a man with breast MCC, which was found to be a case of DCIS [23]. Also, Qu et al found VAE to be a feasible and minimally invasive approach for the treatment of gynecomastia [24]. VABB is associated with significantly lower procedural costs when compared to open surgery, without compromising on the quality of patient care [25].…”

Section: Discussionmentioning

confidence: 84%

Vacuum-Assisted Breast Biopsy System: No Innovation Without Evaluation

Monib¹,

Mukerji²,

Narula³

2021

Cureus

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Background Vacuum-assisted breast biopsy (VABB) has recently been gaining more popularity as a modality to reach the final diagnosis, especially in indeterminate breast lesions, resulting in a decreased number of surgical interventions and unnecessary follow-ups. Objective While our primary aim was to look into the outcomes of the VABB technique, our secondary aim was to assess the impact of the method on changes in patients' management. Patients and methods This study was a retrospective database analysis of vacuum-assisted biopsies (VABs) carried out at our breast unit during the period between January 2011 and January 2018. All our cases were image-guided; the caliber of vacuum-assisted needles used was 8 gauge (G) and 11 G. Patient demographics, lesion characteristics, and outcomes were retrieved from patients' notes and the hospital database. Results A total of 122 female patients were included in the analysis, out of whom 41.8% (51 patients) were screendetected, and 58.1% (71 patients) were symptomatic presentations. The mean lesion size on imaging was 14.8 mm (SD: 12.6); 50% (61 patients) had stereotactic vacuum-assisted breast biopsy (SVAB), and 50% (61 patients) had ultrasound-guided vacuum-assisted breast biopsy (US-VAB). Post-procedure histology was upgraded in 19.6% (24 patients), downgraded in 18.8% (23 patients), and remained unchanged in 61.4% (75 patients). Conclusion VABB is a safe and efficient procedure for the diagnosis and management of indeterminate and suspicious breast lesions. It provides an adequate amount of tissue, which can help in upgrading or downgrading histopathologically diagnosed patients, thereby decreasing the need for surgery.

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Section: Discussionmentioning

confidence: 84%

Vacuum-Assisted Breast Biopsy System: No Innovation Without Evaluation

Monib¹,

Mukerji²,

Narula³

2021

Cureus

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“…[ 12 ]. Following this report, the application of manual compression and pressure bandage was recommended for 48-72 hours following VABB to minimize hematoma occurrence [ 8 ]. Multiple factors can contribute to the induction of hematoma following VABB, including nodule size, nodule number, breast shape, menstrual cycle stage, and the efficacy time of bandage less than 12 hours after the operation [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Emergency embolization for breast pseudoaneurysm following vacuum-assisted biopsy: a case report

Binh¹,

Duc²,

My³

et al. 2021

Pan Afr Med J

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Vacuum-assisted breast biopsy (VABB) is a minimally invasive procedure and has become an important treatment method. Although VABB is a minimally invasive procedure, it might cause complications, particularly those associated with blood vessels. In this article, we aimed to describe a 35-year-old female who experienced pseudoaneurysm post-VABB and was successfully treated with embolization. She presented to the hospital with a suspected left breast tumor. The pathology report after biopsy confirmed fibroadenoma, and the patient underwent VABB to remove the tumor. One hour after VABB, the patient described pain and swelling at the location of the removed tumor. Breast ultrasound revealed a hematoma and pseudoaneurysm. The bleeding did not stop following the application of manual compression. Breast hemorrhage was controlled by endovascular embolization. Pseudoaneurysm is an uncommon complication of VABB, and embolization represents an effective method for the management of breast pseudoaneurysm.

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“…Although several closed techniques (such as liposuction, mammotome excision and sharp cutting) [50][51][52][53][54][55] have been proposed to minimize scarring, subcutaneous mastectomy remains the most common procedure permitting radical adenectomy under direct view, histopathological investigation, extra skin management and accurate hemostasis [56,57]. Moreover, an accurate complete glandular removal reduces the incidence of recurrence [58,59].…”

Section: Discussionmentioning

confidence: 99%

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

2021

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Background Gynecomastia is a common finding in males. Clinical aspect varies widely in world populations showing peculiar hallmarks according to different body shapes reflecting personal expectations; therefore, a surgical plan must be tailored on individual basis to all type of patients. Materials and Method A total of 522 patients, treated for bilateral gynecomastia from January 2007 to January 2019, were included and reviewed in this retrospective study. Considering physical status BMI, muscular trophism, hypertrophy of the mammary region, nipple-areola disorder, gland and skin cover consistency, a four-tier classification system has been used to classify the deformity and to assess a surgical plan. In all cases, a subcutaneous mastectomy was performed under direct vision. Results No recurrence of the deformity was observed as well as major complications such as necrosis, and high level of satisfaction was observed in all groups. No breast cancer was found at the histological examinations Operative time ranged from 25 minutes up to 120 minutes and hospitalization time ranged from 1 to 3 days. Conclusion Since the physical status is strictly related to the clinical features of the disorder, a comprehensive classification system and a reconstructive algorithm are proposed.

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The Vacuum-Assisted Breast Biopsy System is an Effective Strategy for the Treatment of Gynecomastia

Cited by 12 publications

References 28 publications

Vacuum-Assisted Breast Biopsy System: No Innovation Without Evaluation

Vacuum-Assisted Breast Biopsy System: No Innovation Without Evaluation

Emergency embolization for breast pseudoaneurysm following vacuum-assisted biopsy: a case report

Gynecomastia and Chest Masculinization: An Updated Comprehensive Reconstructive Algorithm

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