ORIGINAL ARTICLE   

Chirurgia 2019 June;32(3):122-7

DOI: 10.23736/S0394-9508.18.04835-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

A comparison of the excision methods in breast lesions of classic wire localisation and the advanced breast biopsy system of breast lesion excision system

Elif BINBOGA ¹ ✉, Sinan BINBOGA ²

¹ Department of General Surgery, Bagcilar Training and Research Hospital, Istanbul, Turkey; ² Department of General Surgery, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey

BACKGROUND: The aim of this study is to compare the classic wire localisation method and BLES (Breast Lesion Excision System), which is one of the advanced breast biopsy systems, in respect of surgery, pathology results and costs.
METHODS: A retrospective examination was made of the records of 109 patients who underwent excision with wire localisation or BLES for a non-palpable mass between January 2013 and January 2017. Of the 109 patients determined with a mass in the breast with imaging methods, excision was applied with BLES in 58 patients (Group A) and with classic wire localisation in 51 (Group B). The two groups were compared in respect of length of stay in the hospital, operating time, procedural time, pathology, skin incision (cm), postoperative and post-procedure pain, type of anesthesia and cost analysis.
RESULTS: When the groups were compared in respect of the incision width, mean operating time, post-procedure pain and length of stay in the hospital a statistically significant difference were determined in the BLES group. However, complete excision was made in all of the wire localisation group and incomplete excision was made in 15.2% of the BLES group (P<0.05).
CONCLUSIONS: The results of this study showed that compared to the classic wire localisation excision method, the BLES method of the breast tissue diagnostic methods was more advantageous as it can be applied with local anesthetic, is less painful after the operation, prevents unnecessary tissue loss and requires a shorter stay in the hospital.

KEY WORDS: Lymph node excision - Biopsy - Stereotaxic techniques - Mammary ultrasonography