KẾT QUẢ SỚM SAU ĐIỀU TRỊ U XƠ TUYẾN VÚ BẰNG THIẾT BỊ SINH THIẾT CÓ HỖ TRỢ HÚT CHÂN KHÔNG DƯỚI HƯỚNG DẪN CỦA SIÊU ÂM

Abstract

Aim: To evaluate early results after excision of breast fibroadenoma by ultrasound-guided vacuum assisted breast biopsy device. Subjects and methods: This is a prospective and retrospective study of 121 patients with 163 breast fibroadenomas at the Radiology Center - Bach Mai Hospital from August 2018 to August 2021.  Results: After the procedure, 99.4% of the fibroadenomas were completely removed. The most common complications were pain (accounting for 94.5%, moderate and mild pain) and hematoma (accounted for 87.1% of cases). There was a positive linear correlation between hematoma size and tumor size, number of fragments and aspiration time. In the study, tumors with size > 25mm had a risk of increasing hematoma size > 15mm 3.2 times higher than those < 25mm, rich vascular FA on Doppler mode had a risk of increasing hematoma size > 15mm, 5.8 times higher than non-vascular FA, the distance from the skin to FA ≤ 2mm had 3.4 times more risk of bruising than those with that distance > 2mm, these differences are statistically significant with p < 0.05. Conclusion: Exision of fibroadenomas by ultrasound-guided vacuum-assisted biopsy is a safe, effective and highly aesthetic method. The results of early follow-up after the procedure showed that most of fibroadenomas were completely removed, with very few complications.