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European Radiology
Published in: European Radiology 5/2011

01-05-2011 | Breast

The breast lesion excision system (BLES): a novel technique in the diagnostic and therapeutic management of small indeterminate breast lesions?

Authors: Steven D. Allen, Ashish Nerurkar, Guidabaldo U. Querci Della Rovere

Published in: European Radiology | Issue 5/2011

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Abstract

Objective

To investigate whether the breast lesion excision system (BLES) could render formal surgery unnecessary in patients with small indeterminate breast lesions.

Methods

Following review board ethical permission and the consent of each patient, we aimed to perform a complete excision biopsy, with a margin, of small indeterminate breast lesions that measure less than 1 cm. 76 patients with small BIRADS type 3 breast lesions underwent a BLES biopsy. Mean radiological lesion size was 7.1 mm (range 2–10 mm).

Results

61 lesions had a final benign diagnosis, 6 of which underwent subsequent surgery although only 1 showing residual lesion. 15 lesions were malignant but with residual tumour at re-excision present in only 5 cases.

Conclusion

The BLES biopsy is an efficacious technique at excising small indeterminate breast lesions with a complete margin without the need for follow-up diagnostic surgery in the majority.
Literature
1.
National Institute for Health and Clinical Excellence (2006) Image guided vacuum assisted excision biopsy of benign breast lesions- guidance. IPG156. Feb 2006
2.
Grady I, Gorsuch H, Wilburn-Bailey S (2008) Long-term outcome of benign fibroadenomas treated by ultrasound-guided percutaneous excision. Breast J 14:275–278PubMedCrossRef
3.
Tagaya N, Nakagawa A, Ishikawa Y, Oyama T, Kubota K (2008) Experience with ultrasonographically guided vacuum-assisted resection of benign breast tumors. Clin Radiol 63:396–400PubMedCrossRef
4.
Ko EY, Bae YA, Kim MJ, Lee KS, Lee Y, Kim LS (2008) Factors affecting the efficacy of ultrasound-guided vacuum-assisted percutaneous excision for removal of benign breast lesions. J Ultrasound Med 27:65–73PubMed
5.
Alonso-Bartolomé P, Vega-Bolívar A, Torres-Tabanera M, Ortega E, Acebal-Blanco M et al (2004) Sonographically guided 11-G directional vacuum-assisted breast biopsy as an alternative to surgical excision: utility and cost study in probably benign lesions. Acta Radiol 45:390–396PubMedCrossRef
6.
Sie A, Bryan DC, Gaines V, Killebrew LK, Kim CH, Morrison CC et al (2006) Multicenter evaluation of the breast lesion excision system, a percutaneous, vacuum-assisted, intact-specimen breast biopsy device. Cancer 107:945–949PubMedCrossRef
7.
Killebrew LK, Oneson RH (2006) Comparison of the diagnostic accuracy of a vacuum-assisted percutaneous intact specimen sampling device to a vacuum-assisted core needle sampling device for breast biopsy: initial experience. Breast J 12:302–308PubMedCrossRef
8.
Image-guided radiofrequency excision biopsy of breast lesions. National Institute for Health and Clinical Excellence. IPG308. July 2009
9.
Devalia H, Alomran F, Parker R, Ward R, Allen SD, Querci Della Rovere GU (2008) BLES biopsy reduces the need for surgical excision and is associated with high patient satisfaction. Poster presentation ASBGI 2008. Br J Surg 95:101
10.
Rogers LW (2006) Breast biopsy: a pathologist’s perspective on biopsy acquisition techniques and devices with radiologic-pathologic correlation. Semin Breast Dis 127–137
11.
Ramachandran N, Allen SD (2008) Breast intervention. Current and future roles. Imaging 20:176–184CrossRef
12.
13.
Wei H, Jiayi F, Qinping Z, Junyi S, Yuan S, Li L, Dongwei S, Liying Q (2009) Ultrasound-guided vacuum-assisted breast biopsy system for diagnosis and minimally invasive excision of intraductal papilloma without nipple discharge. World J Surg 33:2579–2581PubMedCrossRef
14.
Maxwell AJ (2009) Ultrasound-guided vacuum-assisted excision of breast papillomas: review of 6-years experience. Clin Radiol 64:801–806PubMedCrossRef
Metadata
Title
The breast lesion excision system (BLES): a novel technique in the diagnostic and therapeutic management of small indeterminate breast lesions?
Authors
Steven D. Allen
Ashish Nerurkar
Guidabaldo U. Querci Della Rovere
Publication date
01-05-2011
Publisher
Springer-Verlag
Published in
European Radiology / Issue 5/2011
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-010-2000-7

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