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J Clin Med. 2019 Sep 19;8(9). pii: E1493. doi: 10.3390/jcm8091493.

A New Management Technique for Symptomatic Haematomas Following Therapeutic Vacuum-Assisted Biopsy.

Author information

1
Department of Radiology, Virgen de la Arrixaca University Clinical Hospital, Ctra. Madrid-Cartagena, 30120 El Palmar (Murcia), Spain. florentina.guzman@gmail.com.
2
Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB-Arrixaca), 30100 Murcia, Spain. florentina.guzman@gmail.com.
3
Department of Radiology, Virgen de la Arrixaca University Clinical Hospital, Ctra. Madrid-Cartagena, 30120 El Palmar (Murcia), Spain. jdberna@gmail.com.
4
Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB-Arrixaca), 30100 Murcia, Spain. jdberna@gmail.com.
5
Department of Radiology, Virgen de la Arrixaca University Clinical Hospital, Ctra. Madrid-Cartagena, 30120 El Palmar (Murcia), Spain. anaazaharagarcia@gmail.com.
6
Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB-Arrixaca), 30100 Murcia, Spain. anaazaharagarcia@gmail.com.
7
Department of Radiology, Virgen de la Arrixaca University Clinical Hospital, Ctra. Madrid-Cartagena, 30120 El Palmar (Murcia), Spain. lhgomez00@hotmail.com.
8
Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB-Arrixaca), 30100 Murcia, Spain. lhgomez00@hotmail.com.
9
Department of Radiology, Virgen de la Arrixaca University Clinical Hospital, Ctra. Madrid-Cartagena, 30120 El Palmar (Murcia), Spain. mesjubermu@hotmail.com.
10
Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB-Arrixaca), 30100 Murcia, Spain. mesjubermu@hotmail.com.

Abstract

The aim of this study was to investigate the efficacy of the vacuum-assisted biopsy (VAB) system in evacuating symptomatic haematomas after VAB excision of benign breast lesions. We retrospectively analysed the data of eight patients with symptomatic and large haematomas who were treated with VAB evacuation between 10 and 14 days after VAB excision. Only one case underwent the procedure 24 h after VAB excision, due to the patient reporting intense pain, which was relieved after application of the technique, even though it had to be done twice. This new clinical application of the VAB system for evacuating symptomatic breast haematomas was successful in all the cases in the present study. No technique-related complications were observed. Conclusions: To the best of our knowledge, this is the first study to reveal that VAB evacuation of symptomatic haematomas is safe, effective, quick and well-tolerated by patients.

KEYWORDS:

benign lesions; breast; haematoma; ultrasound; vacuum-assisted biopsy

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