Vacuum-assisted biopsy and excision of breast lesions: review and current indications
DOI:
https://doi.org/10.29289/259453942023047Palavras-chave:
biopsy, large-core needle, image-guided biopsyResumo
Vacuum-assisted biopsy is an advance in breast diagnostics because it is a less invasive and more practical approach than conventional surgery, capable of diagnosing and treating certain lesions. Despite the still limited availability of the method, related to its cost and the number of professionals qualified to perform it, the potential of vacuum-assisted biopsy and excision in the practice of mastologists is unquestionable. The attending physician is expected to understand the methods, as well as the indications pertinent to them. Recognizing the impossibility of exhausting the subject, the objective of this study is to conduct a narrative review, summarizing the indications for vacuum-assisted breast biopsy and excision currently, according to the available scientific evidence.
Downloads
Referências
Bennett IC, Saboo A. The Evolving Role of Vacuum Assisted Biopsy of the Breast: A Progression from Fine-Needle Aspiration Biopsy. World J Surg. 2019;43(4):1054-61. https://doi.org/10.1007/s00268-018-04892-x
Willems SM, van Deurzen CHM, van Diest PJ. Diagnosis of breast lesions: fine-needle aspiration cytology or core needle biopsy? A review. J Clin Pathol. 2012;65(4):287-92.
Lieske B, Ravichandran D, Wright D. Role of fine-needle aspiration cytology and core biopsy in the preoperative diagnosis of screen-detected breast carcinoma. Br J Cancer. 2006;95(1):62-6.
Brasil. Ministério da Saúde. Agência Nacional de Saúde Suplementar. Resolução Normativa - RN nº 465, de 24 de fevereiro de 2021. Atualiza o Rol de Procedimentos e Eventos em Saúde que estabelece a cobertura assistencial obrigatória a ser garantida nos planos privados de assistência à saúde contratados a partir de 1º de janeiro de 1999 e naqueles adaptados conforme previsto no artigo 35 da Lei n.º 9.656, de 3 de junho de 1998; fixa as diretrizes de atenção à saúde; e revoga a Resolução Normativa - RN nº 428, de 7 de novembro de 2017, a Resolução Normativa - RN n.º 453, de 12 de março de 2020, a Resolução Normativa - RN n.º 457, de 28 de maio de 2020 e a RN n.º 460, de 13 de agosto de 2020.
Li SJ, Hao XP, Hua B, Wang JD, Fan ZM; Chinese Society of Breast Surgery. Clinical practice guidelines for ultrasound-guided vacuum-assisted breast biopsy: Chinese Society of Breast Surgery (CSBrS) practice guidelines 2021. Chin Med J (Engl). 2021;134(12):1390-92. https://doi.org/10.1097/CM9.0000000000001508
Bennett IC. The changing role of vacuum-assisted biopsy of the breast: a new prototype of minimally invasive breast surgery. Clin Breast Cancer. 2017;17(5):323-25. https://doi.org/10.1016/j.clbc.2017.03.001
Park HL, Hong J. Vacuum-assisted breast biopsy for breast cancer. Gland Surg. 2014;3(2):120-27. https://doi.org/10.3978/j.issn.2227-684X.2014.02.03
Wang O, Zhang W, Chen S, Cao F, Chen L, Chen H. A Multicenter, Randomized, Controlled Study of the Breast Biopsy and Circumferential Excision System for Breast Lesions. Clin Breast Cancer. 2023;23(6):640-8. https://doi.org/10.1016/j.clbc.2023.05.007
Zhang Y, Li J, Mo M, Shen J, Ren H, Li S, et al. The comparison of efficacy and safety evaluation of vacuum-assisted Elite 10-G system and the traditional BARD 14-G core needle in breast diagnosis: an open-label, parallel, randomized controlled trial. Int J Surg. 2023;109(5):1180-7. https://doi.org/10.1097/JS9.0000000000000257
Dinç Elibol F, Dere Y, Belli AK, Elibol C, Dere Ö, Nazlı O. Both a biopsy method and a therapeutic procedure in BI-RADS 4A and 4B lesions: ultrasound-guided vacuum-assisted breast biopsy. Turk J Surg. 2020;36(1):65-71. https://doi.org/10.5578/turkjsurg.4472
Girardi V, Guaragni M, Ruzzenenti N, Palmieri F, Fogazzi G, Cozzi A, et al. B3 lesions at vacuum-assisted breast biopsy under ultrasound or mammography guidance: a single-center experience on 3634 consecutive biopsies. Cancers (Basel). 2021;13(21):5443. https://doi.org/10.3390/cancers13215443
O’Flynn EAM, Wilson ARM, Michell MJ. Image-guided breast biopsy: state-of-the-art. Clin Radiol. 2010;65(4):259-70. https://doi.org/10.1016/j.crad.2010.01.008
Grady I, Vasquez T, Tawfik S, Grady S. Ultrasound-guided core-needle versus vacuum-assisted breast biopsy: a cost analysis based on the American Society of Breast Surgeons' Mastery of Breast Surgery Registry. Ann Surg Oncol. 2017;24(3):676-82. https://doi.org/10.1245/s10434-016-5607-3
Miranda BMM, Bitencourt AGV. Vacuum-assisted excision of breast lesions in surgical de-escalation: where are we? Radiol Bras. 2023;56(3):150-6. https://doi.org/10.1590/0100-3984.2022.0078-en
Park HL, Kwak JY, Jung H, Lee SH, Shim JY, Kim JY, et al. Is Mammotome excision feasible for benign breast mass bigger than 3 cm in greatest dimension? J Korean Surg Soc. 2006;70:25-9.
Valadares CN, Couto HL, Soares AN, Toppa PH, Ricardo BP, McIntosh SA, et al. Potential role of vacuum-assisted procedures in resecting breast cancers and highlighting selection criteria to support future trials. Front Oncol. 2023;13:1239574. https://doi.org/10.3389/fonc.2023.1239574
Whitworth P, Hogan A, Ferko N, Son D, Wang F, Xiong Y, et al. Reduced hospital costs for ultrasound-guided vacuum-assisted excision compared with open surgery in patients with benign breast masses and high-risk lesions. J Breast Imaging. 2020;2(5):452-61. https://doi.org/10.1093/jbi/wbaa055
Takahama N, Tozaki M, Ohgiya Y. Current status of MRI-guided vacuum-assisted breast biopsy in Japan. Breast Cancer. 2021;28(6):1188-94. https://doi.org/10.1007/s12282-020-01107-x
Shang QJ, Li N, Zhang MK, He Y, Liu G, Wang ZL. Ultrasound-guided vacuum-assisted excisional biopsy to treat benign phyllodes tumors. Breast. 2020;49:242-5. https://doi.org/10.1016/j.breast.2019.12.008
Couto HL, Valadares CN, Pellegrini Junior O, Oliveira TCF, El Bacha PMG, Ferreira SG. Minimally invasive treatment of gynecomastia by ultrasound-guided vacuum-assisted excision: report of a case series. Mastology. 2021;31:1-7.
Lin LLY, Gao Y, Lewin AA, Toth HK, Heller SL, Moy L. Overstated harms of breast cancer screening? A large outcomes analysis of complications associated with 9-gauge stereotactic vacuum-assisted breast biopsy. AJR Am J Roentgenol. 2019;212(4):925-32. https://doi.org/10.2214/ajr.18.20421
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2025 Letícia Martins de Araújo Campos Linhares, José Tadeu Campos de Avelar, Gabriela Ramos Alves, Thaís Paiva Moraes, Elizabeth Asuncion Sanchez de Ayub, Jairo Luis Coelho Junior, Renata Capanema Saliba Franco
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
