The first experience in the treatment of intraductal growth of breast using the Encor Enspire device and vacuum aspiration biopsy

Introduction. Intracurrent papilloma is a benign neoplasm that develops in the duct of the breast, consists of glandular epithelium, stromal and fibrovascular elements. 'This article presents the experience of treating and monitoring patients with intracurrent breast formation after VAB.

The purpose of the work: to compare the traditional method of treatment of intracurrent formations sectoral breast resection, with the method proposed by us vacuum aspiration biopsy (VAB).

Materials and methods. The clinical observations of two patients who underwent VAB with a control examination after 6 months are presented.

Discussion. The article discusses the advantages of performing VAB in patients with this disease, as well as the advantages of VAB in comparison with other known methods of treatment. Unlike sectoral resection, VAB has a number of advantages in the surgical treatment of ductal formations.

Conclusions. In our opinion, vacuum aspiration biopsy of intracurrent breast formations is the highest quality minimally invasive and atraumatic method of treatment with obtaining complete high-quality postoperative histological material

1. Levchenko K.F., Baranov A.I. Vacuum aspiration biopsy: a minimally invasive method for the treatment of benign breast pathology (literature review). Tumors of the female reproductive system, 2018, № 14(2), pp. 36–41. https://doi.org/10.17650/1994-4098-2018-14-2-36-41 (in Russ.)

2. Gabaraeva V.M., Berezov T.T., Dzodzikova M.E. and others. A retrospective analysis of the results of sectoral resection and radical mastectomy in breast cancer in women of the Russian Federation. Electronic collection of scientific papers “Health and education in the XXI century”, 2006, vol. 8, № 4, pp. 168–169. (In Russ.)

3. Moskvicheva L.I. High-intensity focused ultrasound ablation of malignant neoplasms of the breast. Research and Practice in Medicine, 2018, vol. 5, № 3, pp. 67–76. https://doi.org/10.17709/2409-2231-2018-5-3-6 (in Russ.)

4. Huseynov A.Z. Biopsy methods in the diagnosis of breast diseases. Clinical Medicine and Pharmacology, 2022, № 3, pp. 11–18. https://doi.org/10.12737/2409-3750-2022-8-3-11-18 (in Russ.)

5. Torres-Tabanera M., Alonso-Bartolomé P., Vega-Bolivar A. et al. Percutaneous microductectomy with a directional vacuum-assisted system guided by ultrasonography for the treatment of breast discharge: experience in 63 cases. Acta Radiol., 2008, № 49(3), pp. 271–276. https://doi.org/10.1080/02841850701769793

6. Ko E.S., Han H., Lee B.H. et al. Sonographic changes after removing all benign breast masses with sonographically guided vacuum-assisted biopsy. Acta Radiol., 2009, № 50(9), pp. 968–974. https://doi.org/10.3109/02841850903130836

7. Bonaventure T., Cormier B., Lebas P. et al. Benign papilloma: is USguided vacuumassisted breast biopsy an alternative to surgical biopsy? J Radiol., 2007, № 88(9 Pt 1), pp. 1165–1168. PMID: 17878878.

8. Wei H., Jiayi F., Qinping Z. et al. Ultrasound-guided vacuum-assisted breast biopsy system for diagnosis and minimally invasive excision of intraductal papilloma without nipple discharge. World J Surg., 2009, № 33(12), рp. 2579–2581. https://doi.org/10.1007/s00268-009-0171-7

9. Abunagimov V.M. The experience of using vacuum aspiration biopsy on the Mammotom NN device and the assessment of long-term effects in patients with nodular formations of the mammary glands at the Surgut Design Bureau. Ugra Healthcare: Experience and Innovations, 2016, № С, pp. 49–55.

10. Yao F., Li J., Wan Y. et al Sonographically guided vacuum-assisted breast biopsy for complete excision of presumed benignbreast lesions. J Ultrasound Med., 2012, № 31(12), pp. 1951–1957. PMID: 23197548

11. Dovgalyuk A.Z., Spiridonova V.S., Pazukhina I.A., Suleymanov M.M. Assessment of the degree of disability in radically treated breast cancer patients. Preventive and Clinical Medicine, 2018, № 1(66), pp. 65–69. (In Russ.)