Zhang Siqi, Wang Lu, Yang Jianquan, Lu Man
Ultrasound Medical Center, Sichuan Cancer Hospital and Research Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Front Oncol. 2023 Jan 19;13:1095891. doi: 10.3389/fonc.2023.1095891. eCollection 2023.
Breast leiomyoma is the rarest non-epithelial tumor of the breast. As a benign tumor, its main treatment is regular follow-up. Surgical treatment is often used in clinical practice when patients have symptoms or strongly require treatment. However, if the tumor is large or located around the nipple or areola, the cosmetic effect of surgery is not good, so it is urgent to find new treatment methods. We pioneered the use of microwave ablation in the treatment of giant breast leiomyoma and achieved good results.
A 37-year-old female was admitted to hospital because she found a breast mass of approximately 8 cm. She had no obvious clinical symptoms, but had great psychological pressure.
Pathological biopsy showed leiomyoma followingly the surgical operation of giant breast leiomyoma was planned. However, the breast mass was large, and the postoperative scar would affect the breast appearance.
The consent was obtained from the patient and her family. The Ultrasound-guided microwave ablation was successfully performed.
The patient was followed up for 10 months, and the tumor volume ablation rate was 69.8%. The cosmetic effect of breast was excellent.
To our knowledge, this is the first case to using microwave ablation (MWA) for the treatment of breast leiomyoma. Ultrasound-guided MWA can be used for the treatment of breast leiomyoma, especially when the mass is large and requires traditional surgical resection. It can effectively improve the breast aesthetics and further improve the quality of life of patients. However, it is only a case report, and needs more research to verify MWA in breast leiomyoma.
乳腺平滑肌瘤是乳腺最罕见的非上皮性肿瘤。作为一种良性肿瘤，其主要治疗方法是定期随访。当患者出现症状或强烈要求治疗时，临床实践中常采用手术治疗。然而，如果肿瘤较大或位于乳头或乳晕周围，手术的美容效果不佳，因此迫切需要寻找新的治疗方法。我们率先使用微波消融治疗巨大乳腺平滑肌瘤并取得了良好效果。
一名37岁女性因发现约8厘米的乳腺肿块入院。她没有明显的临床症状，但心理压力很大。
病理活检显示为平滑肌瘤，随后计划进行巨大乳腺平滑肌瘤的手术。然而，乳腺肿块较大，术后瘢痕会影响乳房外观。
获得了患者及其家属的同意。成功进行了超声引导下的微波消融。
对患者进行了10个月的随访，肿瘤体积消融率为69.8%。乳房的美容效果极佳。
据我们所知，这是首例使用微波消融（MWA）治疗乳腺平滑肌瘤的病例。超声引导下的MWA可用于治疗乳腺平滑肌瘤，尤其是当肿块较大且需要传统手术切除时。它可以有效改善乳房美观，进一步提高患者的生活质量。然而，这只是一篇病例报告，需要更多研究来验证MWA在乳腺平滑肌瘤中的应用。
