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首页> 外文期刊>The Breast : >Vacuum-assisted excision of breast lesions of uncertain malignant potential (B3) - an alternative to surgery in selected cases.
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Vacuum-assisted excision of breast lesions of uncertain malignant potential (B3) - an alternative to surgery in selected cases.

机译:真空辅助切除具有不确定恶性潜能的乳腺病变(B3)-在某些情况下可以替代手术。

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摘要

To assess whether vacuum-assisted excision (VAE) is a safe alternative to surgery in the treatment of breast lesions of uncertain malignant potential (B3) in which no atypia is present on needle core biopsy (NCB). Forty two VAE procedures were performed for B3 lesions. Twenty four (57%) were papillary lesions. Eighteen (43%) were radial scars. Two patients (4.7%) were upgraded to carcinoma at VAE. Two patients with papillary lesions went on to develop cancer in the same breast (at 24 and 41 months post VAE). No cancer developed in the radial scar group. Eight patients (19%) had surgery - four for carcinoma, two for radial scars missed at VAE excision and two for symptomatic papillomatosis. Follow-up mammography after VAE of radial scars often showed residual distortion. VAE can be a safe alternative to surgery in the treatment of B3 lesions without atypia, providing thorough multidisciplinary discussion has taken place.
机译:评估真空辅助切除术(VAE)是否可安全替代手术,用于治疗不确定性恶性潜能(B3)且针芯活检(NCB)不存在异型性的乳腺病变。对B3病变进行了42次VAE手术。二十四(57%)是乳头状病变。 radial骨疤痕有十八个(43%)。两名患者(4.7%)在VAE升级为癌。两名乳头状病变患者在同一乳房内继续发展为癌症(VAE后24和41个月)。 radial骨瘢痕组没有癌症。八名患者(占19%)进行了手术-四名因癌,两名因VAE切除而遗漏的放射状疤痕,两名因症状性乳头状瘤病。放射状疤痕VAE后的随访乳腺X线摄影通常显示残余变形。如果已经进行了全面的多学科讨论,VAE可以作为无异型B3病变的手术治疗的安全替代方法。

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