Efficacy and Safety of Vacuum-Assisted Excision for Benign Breast Mass Lesion: A Meta-Analysis

Medicina (Lithuania) - Tập 57 Số 11 - Trang 1260
Hee-Seon Yoo1, Wu Seong Kang2, Jung‐Soo Pyo3, Junghan Yoon4
1Department of Surgery, Mizpia Hospital, Gwangju-si 61963, Gyeonggi-do, Korea
2Department of Trauma Surgery, Cheju Halla General Hospital, Jeju-si 63127, Jeju-do, Korea
3Department of Pathology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Dongil-ro, Uijeongbu-si 11759, Gyeonggi-do, Korea
4Department of Surgery, Chonnam National University Hwasun Hospital, Hwasun-eup 58128, Jeollanam-do, Korea

Tóm tắt

Background and Objective: Breast mass lesions are common; however, determining the malignant potential of the lesion can be ambiguous. Recently, to evaluate breast mass lesions, vacuum-assisted excision (VAE) biopsy has been widely used for both diagnostic and therapeutic purposes. This study aimed to investigate the therapeutic role of VAE. Materials and Methods: Relevant articles were obtained by searching PubMed and EMBASE on 3 September 2021. Meta-analyses were performed using odds ratios and proportions. To assess heterogeneity, we conducted a subgroup analysis and meta-regression tests. Results: Finally, 26 studies comprising 18,170 patients were included. All of these were observational studies. The meta-analysis showed that the complete resection rate of VAE was 0.930. In the meta-regression test, there was no significant difference. The meta-analysis showed a recurrence rate of 0.039 in the VAE group. The meta-regression test showed no statistical significance. Postoperative hematoma, pain, and ecchymosis after VAE were 0.092, 0.082, and 0.075, respectively. Conclusion: VAE for benign breast lesions showed favorable outcomes with respect to complete resection and complications. This meta-analysis suggested that VAE for low-risk benign breast lesions is a reasonable option for both diagnostic and therapeutic purposes.

Từ khóa


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