Vacuum-assisted Excision of Breast Lesions in Surgical De-escalation: Where Are We?

Overview

Journal Radiol Bras

Specialty Radiology

Date 2023 Aug 11

PMID 37564079

Authors

Beatriz Medicis Maranhao Miranda

Almir Galvao Vieira Bitencourt

Affiliations

Soon will be listed here.

Abstract

Vacuum-assisted excision of breast lesions has come to be widely used in clinical practice. Increased acceptance and availability of the procedure, together with the use of larger needles, has allowed the removal of a greater amount of sample, substantially reducing the surgical upgrade rate and thus increasing the reliability of the results of the procedure. These characteristics result in the potential for surgical de-escalation in selected cases and gain strength in a scenario in which the aim is to reduce costs, as well as the rates of underestimation and overtreatment, without compromising the quality of patient care. The objective of this article is to review the technical parameters and current clinical indications for performing vacuum-assisted excision of breast lesions.

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