Modern vacuum needle biopsy method accurately diagnoses breast cancer

This is an automatically translated article.

The article was professionally consulted by BSCK II Phung Thi Phuong Chi - Oncologist - Oncology Center - Vinmec Central Park International General Hospital.
Currently, breast cancer is one of the most common diseases in women, if diagnosed early, the cure rate is high. Modern vacuum needle biopsy method accurately diagnoses breast cancer. In addition, this method also helps to remove benign breast tumors without leaving scars, which is highly effective for breast tumor patients.

1. What is a vacuum needle biopsy?

For breast biopsies, hospitals often use open biopsy or core needle biopsy. However, both of these methods have limitations such as scarring, causing a lot of damage (causing pain), increasing the risk of damage to the nipples and chest wall. Therefore, there are many women, especially young women, who are worried about ensuring the aesthetics of their breasts. Therefore, the technique "Vacuum-assisted breast biopsy" (VABB) is a new technique of the hospital in the field of breast disease intervention and provides an additional option for women, especially women with breast cancer. young woman. VABB (Vacuum-Assisted Breast Biopsy) is a surgical procedure for the treatment of breast tumors that have been determined to be benign, removing the tumor. It has high aesthetic value, and is also a biopsy method for clinically untouchable breast tumors that are suspected of malignancy on imaging studies. Diagnosis and treatment of mammary gland lesions by vacuum-assisted breast biopsy - VABB is used to biopsies a suspected breast tumor. This lesion can be detected on physical examination, or on imaging studies such as ultrasound, mammography, and MRI. To biopsy the tumor, instead of having to open surgery, the doctor will insert a needle connected to the vacuum pressure system to damage the breast tissue through a small incision in the breast skin to cut and aspirate the tissue sample and send it to the patient. go for tissue testing. This biopsy is done under the guidance of ultrasound, mammography, or MRI. Breast biopsy technique with the help of special VABB vacuum device for breast cancer diagnosis, early diagnosis of breast cancer even when breast lesions are not palpable. In addition, non-surgical techniques help to completely treat benign breast tumors (fibromas, breast cysts, abscesses...) and ensure high aesthetics. VABB vacuum-assisted breast biopsy is also used to remove all benign tumors such as fibroadenomas, papillary tumors with the size usually less than 3 cm. Thus, the patient will avoid an open surgery, without scarring. This is especially beneficial when the patient has multiple breast lumps.

2. This technique is usually prescribed by doctors for the following cases

The first is the group of benign breast tumors, previously, the doctor removed the tumor. With VABB, the doctor inserts a needle, cuts the tumor and sucks it out, the patient has less pain, no scar, no breast deformity, no need to stay in the hospital. VABB is also superior to breasts with multiple benign tumors. If using open surgery method, many incisions must be made to remove tumors in many different locations, with VABB, only 1 needle puncture can remove many tumors. The second group of patients who prescribe this technique are patients with small lesions suspected of malignancy. Small lesions, located deep, clinical examination doctors easily missed because the tumor was not palpable. This is a case that is difficult to access with conventional methods to make an accurate diagnosis. With VABB, under the guidance of ultrasound, only 1 needle pierced, cut and aspirated completely, then sent tissue for histopathological examination. Because the entire tumor is removed and sent for testing, the diagnosis results will be more accurate, applied in early diagnosis of breast cancer. Previously, when this technique was not available, doctors often had to locate the tumor on the skin with the help of ultrasound, then still had to open surgery with a long incision on the skin and there was a risk of taking the wrong lesion. Breast
Specific:
Benign breast tumors with surgical indications are less than or equal to 3cm in size. Small breast tumors that are not clinically palpable, suspected of malignancy on imaging, difficult to reach by open biopsy or core biopsy. Palpable breast tumor Non-palpable breast lesion: small mass, structural deformity, microcalcification Removal of benign lesions: fibroadenoma, fibrocystic change, glandular lesion and cystic, complex cysts, and abscesses Core-needle biopsy results suspect or fail Patient has subjective symptoms or pain with BI-RADS 3 to 4 or 5 lesions.

3. Advantages of VABB breast biopsy in mammary gland lesions

Helps access early diagnosis of breast tumors suspected of malignancy on imaging that are not accessible by core needle biopsy or surgical biopsy. Bringing effective treatment of benign breast tumors and high aesthetics (no scarring), minimizing damage to healthy breast tissue. Increases the likelihood of breast-conserving surgery in cases where the breast tumor is malignant. This technique is being considered as the standard in the management of nonpalpable clinically suspected malignancies. Ease of implementation Minimally invasive (no scarring, local anesthesia, no hospital stay) Reduced health care costs Very good results Low complication rate (3-5%) Can be repeated if Need Modern vacuum needle biopsy method to accurately diagnose and diagnose breast cancer early even when breast lesions are not palpable. In addition, it also completely treats benign breast lesions such as fibroadenomas, breast cysts, abscesses... without surgery, ensuring post-treatment aesthetics with outstanding efficiency for breast tumor patients. .
Needle breast biopsy with vacuum-assisted suction device is being applied at many major hospitals, including Vinmec Times City Hospital. With a team of specialists in imaging and breast intervention, who are highly trained at home and abroad, it is possible to accurately capture lesions, with a success rate of > 90% and no complications. (accidence rate < 5%).
Specialist Doctor I Nguyen Tien Phu MSc Trinh Thi Phuong Nga Specialist I Nguyen Thi Van In addition, here is also equipped with the most modern machinery - biopsy machine with suction: Encore Enspire. The feature of integrating biopsies under ultrasound, mammography and MRI helps accurately diagnose breast cancer and remove a completely benign breast tumor with high aesthetics. There is also a mammogram machine: Mamomat Inspiration: Position the biopsy in the vertical and horizontal direction of the needle (only at Vinmec, these two features are available).

Doctor Phung Thi Phuong Chi has 20 years of experience in the profession at Ho Chi Minh City Oncology Hospital with strengths in examination, diagnosis and surgical treatment and chemotherapy of cancer pathology.
Doctor Chi participated in domestic and foreign training courses and was one of the first surgeons to perform Laparoscopic Gynecological Cancer Surgery in Ho Chi Minh City.
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