MANAGEMENT OF BENIGN BREAST TUMORS
Mohamed Esmaiel Soliman Gadalla;
Abstract
Benign breast tumors are much more common than breast cancer in hospital clinic. They include a large variety of pathological types.
Diagnosis of benign breast disease involves a combination of clinical examination, imaging, and needle biopsy (known as “the triple test”). Clinical diagnoses alone are often unreliable and will not exclude malignancy in either the younger or older (postmenopausal) patient, while tissue biopsy is the most accurate means of establishing the diagnosis.
Currently, the gold standard for breast biopsy procedures is open excision of the suspect lesion. However, the cost and morbidity associated with this procedure has prompted many physicians to evaluate less invasive alternative procedures. The goal of minimally invasive biopsy procedures is to limit the physical impact of biopsies (by reducing the invasiveness of the procedure) and to reduce the procedural costs without sacrificing accuracy.
Stereostatic core biopsy procedures can be performed on an outpatient clinic under local anesthesia with the patient able to leave within an hour after completion of the biopsy. The localization and biopsy of the lesion are more accurate since there is direct visualization of the lesion during the procedure. This allow for directional adjustment if necessary. The procedures are less invasive and less disfiguring than open excisional biopsy and yield equal diagnostic accuracy.
It was found that there is a rapid progress in the development of diagnostic methods and interventional methods of diagnosis. This increased the accuracy of these methods and their ability to differentiate benign from malignant tumors.
We discussed different methods of treatment of benign breast tumors with discussion of the most recent methods such as radio-frequency and cryo-ablation of benign breast tumors.
Breast self examination should be encouraged to be done regularly as it is a simple and convenient screening test because it has no apparent financial cost to the participants, is noninvasive, and is intended to lead to earlier awareness of the presence of breast cancer.
Finally, we have to say that the role of the clinician is to rule out an adjacent malignancy and develop a proper prevention/screening strategy. As research continues, the significance of benign high risk tumors will be better understood.
Diagnosis of benign breast disease involves a combination of clinical examination, imaging, and needle biopsy (known as “the triple test”). Clinical diagnoses alone are often unreliable and will not exclude malignancy in either the younger or older (postmenopausal) patient, while tissue biopsy is the most accurate means of establishing the diagnosis.
Currently, the gold standard for breast biopsy procedures is open excision of the suspect lesion. However, the cost and morbidity associated with this procedure has prompted many physicians to evaluate less invasive alternative procedures. The goal of minimally invasive biopsy procedures is to limit the physical impact of biopsies (by reducing the invasiveness of the procedure) and to reduce the procedural costs without sacrificing accuracy.
Stereostatic core biopsy procedures can be performed on an outpatient clinic under local anesthesia with the patient able to leave within an hour after completion of the biopsy. The localization and biopsy of the lesion are more accurate since there is direct visualization of the lesion during the procedure. This allow for directional adjustment if necessary. The procedures are less invasive and less disfiguring than open excisional biopsy and yield equal diagnostic accuracy.
It was found that there is a rapid progress in the development of diagnostic methods and interventional methods of diagnosis. This increased the accuracy of these methods and their ability to differentiate benign from malignant tumors.
We discussed different methods of treatment of benign breast tumors with discussion of the most recent methods such as radio-frequency and cryo-ablation of benign breast tumors.
Breast self examination should be encouraged to be done regularly as it is a simple and convenient screening test because it has no apparent financial cost to the participants, is noninvasive, and is intended to lead to earlier awareness of the presence of breast cancer.
Finally, we have to say that the role of the clinician is to rule out an adjacent malignancy and develop a proper prevention/screening strategy. As research continues, the significance of benign high risk tumors will be better understood.
Other data
| Title | MANAGEMENT OF BENIGN BREAST TUMORS | Other Titles | التعامل مع الأورام الحميدة للثدي | Authors | Mohamed Esmaiel Soliman Gadalla | Issue Date | 2015 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.