关键词: 乳头状瘤, 乳腺, 真空辅助切除手术, 治疗

Abstract: Objective To evaluate the value of ultrasound-guided vacuum assisted resection （UGVAE） in the diagnosis and treatment of breast intraductal papilloma. Methods From February 2018 to February 2021, our department used UGVAE to diagnose 89 patients with intraductal papilloma of the breast. We retrospectively analyzed 33 patients who had regular postoperative breast imaging follow-up, 8 patients were diagnosed as bilateral intraductal papilloma of the breast. The follow-up period ranged from 14 to 50 months, with an average of 25.7 months. All intraductal papillomas of the breast were far away from the skin. The diameter of the lesion was 2.4~20 mm, with an average of 9 mm. The breast image report and data system （BIRADS） were diagnosed as category 2-4a. Vacuum-assisted excision was used for complete resection. All VAEs were performed with 8G vacuum assisted biopsy needle under the guidance of 12 mHz linear high frequency probe. Results In this study, the diameter of papilloma was less than 20 mm, and most of the patients with breast papilloma were asymptomatic （19/33, 57.6%）. When the diameterof breast papilloma on ultrasound was more than 10 mm, the pathological diagnosis after biopsy might be papilloma with atypical hyperplasia. The recurrence rate of papilloma after VAE is very low even without extensive resection. Conclusion Papilloma of breast with diameter less than 20 mm, including papilloma with atypical hyperplasia, which can be completely removed by VAE, with accurate diagnosis and low recurrence rate. We believe that the papilloma diagnosed by VAE does not need extensive resection, and imaging follow-up is sufficient.

Key words: papilloma, breast, VAE, treatment