CLINICAL CASES   

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2000 December;159(6):223-5

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Impalpable breast lesions. The first 21 cases of aesthetic surgical biopsy with local anesthesia

Maculotti L.

Azienda Ospedaliera, Ospedale Niguarda Ca’ Granda - Milano, Divisione di Chirurgia Generale Andrea Ponti

The esthet­i­cal sur­gi­cal biop­sy of impal­pa­ble ­breast ­lesions ­under ­local anes­the­sia has ­been eval­u­at­ed. The ­first 21 cas­es of sur­gi­cal biop­sy of impal­pa­ble ­breast ­lesions ­have ­been ­enrolled in a ret­ro­spec­tive ­study ­from 1989 to 1998. ­After ultra­sound (12 cas­es) or ster­eo­tac­tic (9 cas­es) local­iza­tion, the ­patients, ­with ­median age of 52.8 ­years, ­were biop­sied in day sur­gery ­under ­local anaesthe­sia, adopt­ing ­curved strict­ly per­i­are­o­lar inci­sion and sub­cu­ta­ne­ous per­son­al tech­nique ­with the anchor­age of the met­al ref­er­ence ­mark to the ­breast. The sur­gi­cal ­time aver­aged 25 min. His­to­log­i­cal­ly the ­lesions ­were 9 inva­sive duc­tal car­ci­no­mas, 2 lob­u­lar inva­sive car­ci­no­mas ­with lob­u­lar car­ci­no­ma in ­situ, 6 scler­o­sant ade­nos­es, 2 epi­the­li­os­es, 2 fibro­aden­o­ma­tos­es ­with scler­o­sant aden­o­sis. The malig­nant/­benign ­lesions ­ratio was 1/3. The ­lesion was ­found in all the cas­es. Com­pli­ca­tions: 2 hemat­o­mas, 1 infec­tion, all ­resolved in 12th day. ­Patient sat­is­fac­tion ­index: excel­lent (17 cas­es), ­good (4 cas­es). Aesthet­ic out­come ­after 6 ­months: excel­lent (18 cas­es), ­good (3 cas­es). ­When nec­es­sary, the sur­gi­cal aesthet­ic biop­sy ­under ­local anes­the­sia of impal­pa­ble ­breast ­lesions is rec­om­mend­ed for a diag­nos­tic reli­able tech­nique and aesthet­ic out­come.