Vacuum assisted excision

    Vacuum assisted excision

    A breast tumor is not always malignant, but more often benign. These benign lesions often do not need to be removed. Sometimes this lesion is symptomatic, or more tissue is needed to be able to diagnose the lesion with more certainty. In these cases, a surgical excison will be performed. Since July 2017, a patient at Franciscus Gasthuis & Vlietland can also opt for a vacuum-assisted excision instead of a surgical excison. With a vacuum assisted excision, a needle is used to target the lesion and remove it with small bites. This is done at the radiology department under local anesthesia. Thus, surgery, general anesthesia and hospitalization are no longer necessary.

    In recent years, we have evaluated the outcomes of this vacuum-assisted excision and compared it to surgical excision. In addition, we have compared the patient-reported cosmetic outcomes and the cost-effectiveness of the two techniques. In many hospitals in the Netherlands, a surgical excision is still the standard therapy for these benign lesions. By evaluating the vacuum assisted excision and sharing our experiences, we aim to increase the availability of this technique. In the future, we want to improve the care for these patients by developing and implementing guidelines for these benign lesions.

    The development of the questionnaire to assess cosmetic outcome after breast conserving therapy can be found on PubMed. The article on cosmetic outcome after vacuum assisted excision was published in the British Journal of Radiology.

    • Date 2 April 2021
    • Tags Innovation, Ongoing