Volume of blood suctioned during vacuum-assisted breast biopsy predicts later hematoma formation

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• 作者：Flora Zagouri (1)
  Theodoros N Sergentanis (1)
  Philip Domeyer (1)
  Dimosthenis Chrysikos (1)
  Georgia Giannakopoulou (1)
  Nikolaos V Michalopoulos (1)
  Panagiotis Safioleas (1)
  Ioannis Flessas (1)
  Effrosyni Panopoulou (1)
  Garifallia Bletsa (1)
  George C Zografos (1)
  
• 刊名：BMC Research Notes
• 出版年：2010
• 出版时间：December 2010
• 年：2010
• 卷：3
• 期：1
• 全文大小：292KB
• 参考文献：1. Dershaw DD: / Imaging-Guided Interventional Breast Techniques. New York: Springer; 2003:87-18.
  2. Hoorntje LE, Peeters PH, Mali WP, Borel Rinkes IH: Vacuum-assisted breast biopsy: a critical review. / Eur J Cancer 2003, 39:1676-683. CrossRef
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  4. Zografos GC, Zagouri F, Sergentanis TN, Nonni A, Domeyer P, Koulocheri D, Flessas I, Panopoulou E, Chrysikos D, Bramis J: Pain in different methods of breast biopsy: Emphasis on vacuum-assisted breast biopsy. / Breast 2008, 17:71-5. CrossRef
  5. Schreer I, Luttges J: Precursor lesions of invasive breast cancer. / Eur J Radiol 2005, 54:62-1. CrossRef
  6. Zagouri F, Sergentanis TN, Nonni A, Koulocheri D, Fotou M, Panopoulou E, Panou M, Fotiadis C, Bramis J, Zografos GC: Vacuum-assisted breast biopsy: the value and limitations of cores with microcalcifications. / Pathol Res Pract 2007, 203:563-. CrossRef
  
• 作者单位：Flora Zagouri (1)
  Theodoros N Sergentanis (1)
  Philip Domeyer (1)
  Dimosthenis Chrysikos (1)
  Georgia Giannakopoulou (1)
  Nikolaos V Michalopoulos (1)
  Panagiotis Safioleas (1)
  Ioannis Flessas (1)
  Effrosyni Panopoulou (1)
  Garifallia Bletsa (1)
  George C Zografos (1)
  
  1. Breast Unit, 1st Department of Propaedeutic Surgery, Hippokratio Hospital, University of Athens, 114, Vas Sofias Ave, 116 27, Athens, Greece
  

文摘

Background To evaluate whether the volume of blood suctioned during vacuum-assisted breast biopsy (VABB) is associated with hematoma formation and progression, patient's age and histology of the lesion. Findings 177 women underwent VABB according to standardized protocol. The volume of blood suctioned and hematoma formation were noted at the end of the procedure, as did the subsequent development and progression of hematoma. First- and second-order logistic regression was performed, where appropriate. Cases with hematoma presented with greater volume of blood suctioned (63.8 ± 44.7 cc vs. 17.2 ± 32.9 cc; p < 0.001, Mann-Whitney-Wilcoxon test for independent samples, MWW); the likelihood of hematoma formation was increasing till a volume equal to 82.6 cc, at which the second-order approach predicts a maximum. The volume of blood suctioned was positively associated with the duration of the procedure (Spearman's rho = 0.417, p < 0.001); accordingly, hematoma formation was also positively associated with the latter (p = 0.004, MWW). The volume of blood suctioned was not associated with patients' age, menopausal status and histopathological diagnosis. Conclusion The likelihood of hematoma is increasing along with increasing amount of blood suctioned, reaching a plateau approximately at 80 cc of blood lost.