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Diagnosis and excision of breast multi-focal lesions by ultrasound-guided vacuum-assisted biopsy:a comparative evaluation

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Journal of Pharmaceutical Analysis 2010年第3期22卷 208-211页

作者： Tie-Qiang Bi1,Chang-Ling Ren2,Prakash Chaudhary1,Xin-Hua Liao1,Xiang-Ming Che1 1.Department of Surgery,the First Affiliated Hospital,Medical School of Xi’an Jiaotong University,Xi’an 710061 2.Department of Surgery,Laizhou People’s Hospital,Laizhou 261400,China Department of Surgery First Affiliated Hospital Medical School of Xi'an Jiaotong University Xi'an 710061 China Department of Surgery Laizhou People's Hospital Laizhou 261400 China

Objective To compare and evaluate the efficacy of diagnosis and excision for appropriately selected breast multi-focal lesions and solitary lesion by ultrasound-guided vacuum-assisted biopsy(UGVAB).Methods Among 392 appropriately selected patients,187 patients with multi-focal lesions and 205 patients with solitary lesion were treated by the 8-gauge UGVAB from May 2007 to June *** lesions were removed as completely as *** patients with benign pathology underwent physical and ultrasound examinations at one week and 6 months after *** During the procedure,only three patients had vasovagal syncope and twenty others complained of other intraoperative *** accurate pathological diagnosis was obtained in all *** was no apparent false-negative result among the 696 lesions with benign pathology at a follow-up of 6 months after *** rates of malignant or premalignant pathology,postoperative complications and residual lesions in patients with multi-focal lesions were higher than those in patients with solitary *** each lesion was considered as a subject of study,there was no significant difference between the two *** UGVAB is an effective method for diagnosis and excision of appropriately selected breast multi-focal lesions and can be used routinely.

关键词： vacuum-assisted biopsy ultrasound-guided breast multi-focal lesions

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Preoperational diagnosis and management of breast ductal carcinoma in situ arising within fibroadenoma:Two case reports

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World Journal of Clinical Cases 2022年第11期10卷 3496-3504页

作者： Jun Wu Ke-Wang Sun Qiu-Ping Mo Ze-Ran Yang Yuan Chen Miao-Chun Zhong Department of Breast Surgery Zhejiang Provincial People’s HospitalPeople’s Hospital of Hangzhou Medical CollegeHangzhou 310014Zhejiang ProvinceChina Cancer Center Zhejiang Provincial People’s HospitalPeople’s Hospital of Hangzhou Medical CollegeHangzhou 310014Zhejiang ProvinceChina Department of Pathology Zhejiang Provincial People’s Hospital

BACKGROUND Ductal carcinoma in situ(DCIS)arising within fibroadenoma is a type of tumor that is rarely encountered in clinic,with only about 100 cases of carcinoma arising within a fibroadenoma reported in the ***,we present two cases of breast DCIS arising within a fibroadenoma and discuss their clinical and imaging findings as well as *** SUMMARY The patients did not have cancer-related personal and family *** 1(a 49-year-old woman)was diagnosed with a bilateral breast nodule in May 2018 and was followed(preoperative imaging data including ultrasound and mammography)for 3 years;she underwent an excisional biopsy to address an enlargement in nodule *** 2(a 37-year-old woman)was diagnosed with a left breast nodule in June 2021 and consequently received vacuum-assisted biopsy of the tumor which appeared as“irregularly shaped”and“unevenly textured”tissue on *** pathological diagnosis was clear in both *** patients underwent breast-conserving surgery and sentinel lymph node *** two cases received or planned to receive radiotherapy as well as endocrine therapy(tamoxifen).CONCLUSION Breast DCIS arising within a fibroadenoma is rare,but patients treated with radiotherapy and endocrine therapy can have good prognosis.

关键词： Fibroadenoma Ductal carcinoma in situ vacuum-assisted biopsy Excisional biopsy Case report

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