Patient Satisfaction in the Complete Removal of Giant Breast Fibroadenoma under Vacuum-Associated Breast Biopsy Procedure

Authors

  • Monica Bellynda Department of General Surgeon, Sebelas Maret University, Surakarta, Central Java, Indonesia
  • Kristanto Yuli Yarso Department of Oncology Surgeon, Sebelas Maret University, Surakarta, Central Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5929

Keywords:

Fibroadenoma, VABB, Satisfaction

Abstract

INTRODUCTION: Fibroadenomas are one of the most common benign tumors of the breast in the adolescent population. They account for 68% of all breast masses and 44–94% of all biopsied breast lesions. Fibroadenomas can range from asymptomatic masses to painful and rapidly growing tumors that can cause significant esthetic distortions of the breast. With breast examinations becoming common in women as young as their 20s, excision of benign breast tumors using vacuum-assisted breast biopsy (VABB) became more common. The VABB procedure with ultrasound guiding is still used for removal benign breast tumors.

CASE REPORT: A 24-year ago woman presents with complaints of a lump in the right breast for 3 years, the lump is slow growing. The mass diameter is about 6 cm and no ulcers. Ultrasound examination found a solid mass, firm boundaries, regular contours, mobile in the outer quadrant of the right breast, no specific microcalcification size 6.13 cm × 3.11 cm × 5.33 cm (BIRADS 4a). Core biopsy examination showed fibroadenoma mammae intracanalicular and pericanalicular. We used an 8G needle and got 458 slices about 100 g. After the procedure, a total removal is obtained by ultrasound examination from a previously existing mass of 6 cm.

CONCLUSIONS: The VABB procedure is very effective and efficient in removing breast fibroadenoma (benign lesion) and the results are satisfactory. The advantage of this procedure apart from the cosmetic aspect which does not leave any marks is also a high level of safety. From our case, we can take complete removal with a diameter of 6 cm, whereas in the previous literature, it can only remove a mass of 3–4 cm in size.

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References

Lee M, Soltanian HT. Breast fibroadenomas in adolescents: Current perspectives. Adolesc Health Med Ther. 2015;6:159-63. https://doi.org/10.2147/ahmt.s55833 PMid:263661092.

Tran PV, Le CH, Pham HT, Pham TH. Treatment of fibroadenoma by ultrasound-guided vacuum assisted breast biopsy at ho chi minh city oncology hospital. World J Surg Surg Res. 2018;1:1046.

Park HL, Hong J. Vacuum-assisted breast biopsy for breast cancer. Gland Surg. 2014;3(2):120-7. PMid:25083505

Abbate F, Bacigalupo L, Latronico A, Trentin C, Penco S, Menna S, et al. Ultrasound-guided vacuum assisted breast biopsy in the assessment of C3 breast lesions by ultrasound-guided fine needle aspiration cytology: Results and costs in comparison with surgery. Breast. 2009;18(2):73-7. https://doi.org/10.1016/j.breast.2009.01.001 PMid:19342236

Pistolese CA, Castrignanò A, Ricci F, Meucci R, Croce G, Mondillo M, et al. Ultrasound-guided vacuum-assisted biopsy in small breast: A cost-saving solution. Clin Breast Cancer. 2019;19(2):e352-7. https://doi.org/10.1016/j.clbc.2018.12.002 PMid:30733050

Eller A, Janka R, Lux M, Saake M, Schulz-Wendtland R, Uder M, et al. Stereotactic vacuum-assisted breast biopsy (VABB)-a patients’ survey. Anticancer Res. 2014;34(7):3831-7. PMid:24982410

Połom K, Murawa D, Nowaczyk P, Adamczyk B, Giles E, Fertsch S, et al. Vacuum-assisted core-needle biopsy as a diagnostic and therapeutic method in lesions radiologically suspicious ofbreast fibroadenoma. Rep Pract Oncol Radiother. 2010:16(1):32-5. https://doi.org/10.1016/j.rpor.2010.12.001 PMid:24376952

Sun XH, Zhao Y, Zhang B, Yu Y, Cao X. Feasibility study of large breast benign masses excision with ultrasoundguided mammotome VABB system. Biomed Res. 2017;28(19):8354-9.

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Published

2021-04-28

How to Cite

1.
Bellynda M, Yuli Yarso K. Patient Satisfaction in the Complete Removal of Giant Breast Fibroadenoma under Vacuum-Associated Breast Biopsy Procedure. Open Access Maced J Med Sci [Internet]. 2021 Apr. 28 [cited 2021 Sep. 20];9(C):40-2. Available from: https://oamjms.eu/index.php/mjms/article/view/5929

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Case Report in Surgery

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