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手术降级中乳腺病变的真空辅助切除术：我们目前的进展如何？

Vacuum-assisted excision of breast lesions in surgical de-escalation: where are we?

作者信息

Miranda Beatriz Medicis Maranhão, Bitencourt Almir Galvão Vieira

机构信息

Breast Center, Instituto de Medicina Integral Prof. Fernando Figueira - IMIP, Recife, PE. Brazil.

Lucilo Maranhão Diagnósticos, Recife, PE, Brazil.

出版信息

Radiol Bras. 2023 May-Jun;56(3):150-156. doi: 10.1590/0100-3984.2022.0078-en.

DOI:10.1590/0100-3984.2022.0078-en
PMID:37564079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10411769/
Abstract

Vacuum-assisted excision of breast lesions has come to be widely used in clinical practice. Increased acceptance and availability of the procedure, together with the use of larger needles, has allowed the removal of a greater amount of sample, substantially reducing the surgical upgrade rate and thus increasing the reliability of the results of the procedure. These characteristics result in the potential for surgical de-escalation in selected cases and gain strength in a scenario in which the aim is to reduce costs, as well as the rates of underestimation and overtreatment, without compromising the quality of patient care. The objective of this article is to review the technical parameters and current clinical indications for performing vacuum-assisted excision of breast lesions.

摘要

真空辅助乳腺病变切除术已在临床实践中得到广泛应用。该手术的接受度提高且更易开展，再加上使用更大的针，使得能够获取更多的样本，大幅降低了手术升级率，从而提高了该手术结果的可靠性。这些特点使得在某些特定病例中有进行手术降级的可能，并且在旨在降低成本以及低估和过度治疗发生率的情况下更具优势，同时又不影响患者护理质量。本文的目的是回顾进行真空辅助乳腺病变切除术的技术参数和当前临床适应证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/52b98602d121/rb-56-03-0150-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/2b42e05273f4/rb-56-03-0150-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/5ede7f29a67a/rb-56-03-0150-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/afca2f3ba69e/rb-56-03-0150-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/52b98602d121/rb-56-03-0150-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/2b42e05273f4/rb-56-03-0150-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/5ede7f29a67a/rb-56-03-0150-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/afca2f3ba69e/rb-56-03-0150-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/248b/10411769/52b98602d121/rb-56-03-0150-g04.jpg

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Radiol Case Rep. 2024 Sep 26;19(12):6509-6515. doi: 10.1016/j.radcr.2024.09.055. eCollection 2024 Dec.

本文引用的文献

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J Breast Imaging. 2020 Sep 24;2(5):452-461. doi: 10.1093/jbi/wbaa055.
2
Efficacy and Safety of Vacuum-Assisted Excision for Benign Breast Mass Lesion: A Meta-Analysis.真空辅助切除良性乳腺肿块的疗效和安全性：Meta 分析。
Medicina (Kaunas). 2021 Nov 17;57(11):1260. doi: 10.3390/medicina57111260.
3
High-risk lesions of the breast: concurrent diagnostic tools and management recommendations.
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Insights Imaging. 2021 May 26;12(1):63. doi: 10.1186/s13244-021-01005-6.
4
Patient reported cosmetic outcome after vacuum assisted excision of benign breast lesions: a cross-sectional study.患者报告良性乳腺病变真空辅助切除术后的美容效果：一项横断面研究。
Br J Radiol. 2020 Oct 1;93(1114):20190994. doi: 10.1259/bjr.20190994. Epub 2020 Jul 20.
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