CẮT BỎ CÓ HỖ TRỢ CHÂN KHÔNG DƯỚI HƯỚNG DẪN SIÊU ÂM ĐIỀU TRỊ KHỐI U PHYLLODE LÀNH TÍNH KÍCH THƯỚC LỚN

Abstract

Phyllode tumor (PT) is a rare fibrous epithelial tumor that accounts for less than 1% of breast tumors and is common in middle-aged women. Distinguishing phyllode tumors with fibroadenoma of the breast on clinical manifestations, imaging, and pathology is relatively difficult. The World Health Organization (WHO) divides phyllode tumors into three subtypes: benign, borderline, and malignant. Currently, the main method to remove PT is wide local excision >1 cm from the lesion margin to prevent local recurrence. However, benign phyllodes tumors (BPT) have a low local recurrence rate and there is disagreement about the treatment of these lesions. In this article, we present a clinical case of the removal of a benign phyllodes tumor larger than 6 cm in a 40-year-old Vietnamese woman by ultrasound-guided vacuum-assisted breast excision (VAE) combined with monitored anesthesia care (MAC). This method helps to optimize aesthetics for the patient as well as has a number of advantages over traditional surgical methods or vacuum-assisted breast excision under ultrasound guidance alone.