超声引导下微波消融治疗有症状的乳腺囊肿：早期结果及临床意义
Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implications.
作者信息
Huynh Khanh Quang, Nguyen Phat Thanh, Nguyen Khoi Van
机构信息
Breast Unit, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
出版信息
Front Surg. 2025 Aug 22;12:1544662. doi: 10.3389/fsurg.2025.1544662. eCollection 2025.
BACKGROUND
Breast cysts are more common in premenopausal women (61.5%), particularly between ages 35-50. Microwave ablation (MWA) has shown advantages in treating symptomatic cysts.
OBJECTIVE
To evaluate early outcomes of ultrasound-guided MWA for breast cysts at the Breast Unit of Cho Ray Hospital.
METHODS
A retrospective review was conducted on patients who underwent MWA from August 2018 to March 2020.
RESULTS
Fifty-eight patients (mean age: 45.3) were included. Simple, complicated, and complex cysts accounted for 80.0%, 16.9%, and 3.1%, respectively. The mean cyst diameter was 23.86 mm. A size reduction exceeding 90% was observed in the ablated cyst at the 6 months follow- up, with the exception of 1 cyst with mural calcification that showed no response.
CONCLUSION
MWA is a promising and safe treatment for symptomatic breast cysts, offering high success and low complication rates. Cyst mural calcification may affect treatment response and should be carefully assessed.
背景
乳腺囊肿在绝经前女性中更为常见（61.5%），尤其是在35 - 50岁之间。微波消融（MWA）在治疗有症状的囊肿方面已显示出优势。
目的
评估在乔雷医院乳腺科采用超声引导下微波消融治疗乳腺囊肿的早期效果。
方法
对2018年8月至2020年3月接受微波消融治疗的患者进行回顾性研究。
结果
纳入58例患者（平均年龄：45.3岁）。单纯性囊肿、复杂性囊肿和复合性囊肿分别占80.0%、16.9%和3.1%。囊肿平均直径为23.86毫米。在6个月的随访中，除1例有壁钙化的囊肿无反应外，消融后的囊肿体积缩小超过90%。
结论
微波消融是一种有前景且安全的治疗有症状乳腺囊肿的方法，成功率高且并发症发生率低。囊肿壁钙化可能影响治疗反应，应仔细评估。
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