Complications in Ultrasound-Assisted Breast Tru-cut Biopsy and Comparison with Other Biopsy Methods

Yıl 2018, Cilt: 5 Sayı: 1, 13 - 16, 25.07.2018

Emrah Doğan

Öz

Breast cancer is the
most common cancer in women and its incidence is increasing. Most of breast
cancers are solitary and tru-cut biopsy is one of the basic diagnostic methods.
Knowing the complications encountered during tru-cut biopsy and their
prevalence will be useful in terms of material, hygiene control and physician
self-monitoring. We conducted a retrospective study of 876 patients who had
undergone breast biopsy due to suspicion of malignancy.  Rates of complications was compared with
those of open surgical biopsy and vacuum biopsy. Complications occurred in
10.5% of the total biopsies. In the set of complications, rate of bleeding was
41.22%, rate of complications of local anesthesia was 25.95%, rate of skin
infection 12.98%, rate of hematoma 11.45%, rate of mastitis was 5.34%, rate of
abscess was 2.30% and finally rate of 
anxiety was  0.76%. No allergic
reactions or aneurysms were detected in the patients. Complication rates of
tru-cut biopsy were 1/3 less than those of open surgical biopsy (OSB). Vacuum
biopsy complications are slightly less than those of tru-cut biopsy. Bleeding
rates are high in vacuum biopsy, while it is a rare complication in tru-cut
biopsy. In total tru-cut biopsy is a fast and comfortable method with low
complication rates according to vacuum assisted biopsy and OSB.

Anahtar Kelimeler

Complication, Breast, Tru-cut Biyopsy

Ultrason Eşliğinde Meme Tru-cut Biyopsi Komplikasyonları ve Diğer Biyopsi Yöntemleri ile Karşılaştırılması

Öz

Meme kanseri kadınlarda en sık kanserdir ve
insidansı artmaktadır. Meme kanserlerinin çoğu soliddir ve tru-cut biyopsi
temel tanı yöntemlerinden biridir. Tru-cut biyopsi sırasında karşılaşılan
komplikasyonların ve prevalanslarının bilinmesi malzeme, hijyen kontrolü ve
doktorun öz denetimi açısından faydalı olacaktır. Çalışma malignite şüphesi
nedeniyle tru-cut biyopsi yapılmış 876 hastada karşılaşılmış komplikasyon
verileri üzerinden derlenmiş retrospektif bir araştırmadır. Komplikasyon
oranlarının  prevalansı,
komplikasyonların birlikte görülme oranları değerlendirilmiş açık cerrahi
biyopsi (ACB) ve vakum biyopsi ile karşılaştırılmıştır. İşlemlerin %10.5’inde
komplikasyon oluştu. %7.7 sinde izole komplikasyonlar, %3.3 oranında multipl
komplikasyonlar mevcuttu. Komplikasyon yüzdeleri sırasıyla kanama (%41.22),
lokal anestezi komplikasyonları (%25.95), cilt enfeksiyonu (%12.98), hematom
(%11.45), mastit (%5.34), abse (%2.30), anksiyete (%0.76)’ydi. Hastalarda major
alerjik reaksiyon, anevrizma, fistül, nekrozitan enfeksiyon saptanmadı. Tru-cut
biyopside komplikasyon oranları 1/3 oranında ACB’ye oranla düşük bulunmuştur.
Vakum biyopsiye göre ise hafifçe azdır. Major kanama oranları vakum biyopside
yüksek iken tru-cut biyopside nadir bir komplikasyondur. Bizim serimizde
saptanmamıştır. Trucut biyopsi vakum destekli biyopsi ve ACB’ye göre
komplikasyon oranı düşük hızlı ve konforlu bir yöntemdir.

Anahtar Kelimeler

Komplikasyon, Meme, Tru-cut Biyopsi

Kaynakça

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