Minimally Invasive Surgery for Breast Fibroadenoma: What You Need to Know - Breast and Thyroid

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Minimally invasive surgery for breast fibroadenoma, particularly using techniques like vacuum-assisted breast biopsy (VABB), has gained popularity due to its effectiveness and reduced recovery time compared to traditional surgical methods. This approach allows for the removal of the entire fibroadenoma while minimizing trauma to surrounding breast tissue. Here’s what you need to know regarding your concerns and the procedure itself.


Understanding Vacuum-Assisted Breast Biopsy (VABB)
VABB is a minimally invasive technique that uses a vacuum-powered device to remove tissue from a breast lesion. It is particularly useful for lesions that are difficult to access or for patients who prefer a less invasive option. The procedure is performed under local anesthesia, and it typically involves a small incision through which the device is inserted. The vacuum mechanism allows for the collection of larger tissue samples, which can be beneficial for accurate diagnosis and treatment.


Concerns About Not Performing Traditional Biopsy First
Your concern about not undergoing a traditional biopsy before the VABB is valid. Traditional needle biopsies, such as fine needle aspiration (FNA) or core needle biopsy, are often performed to obtain tissue samples for histological examination before any surgical intervention. However, VABB can serve as both a diagnostic and therapeutic procedure. If the pathologist finds any concerning cells during the VABB, the entire lesion can be excised in the same session, reducing the need for a second surgery.


Financial Considerations
You mentioned that the cost of the VABB procedure is approximately 19,000 NTD per session. It’s important to weigh this cost against the potential need for additional procedures if the biopsy results indicate malignancy. If the VABB reveals abnormal cells, your healthcare provider may recommend traditional surgical excision to ensure complete removal of any potentially cancerous tissue. This could incur additional costs and recovery time. Therefore, discussing the financial implications and potential outcomes with your healthcare provider is crucial.


Risks and Benefits
The benefits of VABB include minimal scarring, reduced recovery time, and the ability to remove the entire fibroadenoma in one procedure. However, as with any medical procedure, there are risks involved, including bleeding, infection, and the possibility of incomplete removal of the lesion. It is essential to have a thorough discussion with your surgeon about these risks and to ensure that you are comfortable with the decision to proceed with VABB without a prior traditional biopsy.


Follow-Up and Future Considerations
If you decide to proceed with the VABB and the results are benign, regular follow-up with your healthcare provider is essential. They will monitor your breast health and any changes in the remaining breast tissue. If you have a family history of breast cancer or other risk factors, your doctor may recommend additional imaging or surveillance strategies.

In conclusion, minimally invasive surgery for breast fibroadenoma, such as VABB, can be a safe and effective option for many patients. It is essential to have open communication with your healthcare provider about your concerns, the procedure's risks and benefits, and the financial aspects involved. By doing so, you can make an informed decision that aligns with your health needs and personal preferences.