A Comparison of rotational adenomammectomy, surgery, and ultrasound-guided microwave ablation for benign breast mass

Document Type : Original Article

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Surgical department, faculty of medicine, Zagazig university, Egypt

Abstract

Objective:To explain the effect of intervention and convenetional surgery,  rotational adenomammectomy, ultrasound-guided microwave ablation, on the prognostic  result of benign breast nodules. Methods: Between December 2016 and October 2020, in xxx university surgical treatment, with the invasive radiology department we had 232 situations of patients with benign breast nodules that proved benign after pathological examination and underwent intervention treatment approaches, they were split into three groups: rotational adenomammectomy group (n = 79), conventional surgery group (n = 105) and microwave ablation group (n = 48). Between the three groups, clinical measurements were evaluated and studied, and the patients' discomfort following the procedure, residual tumor, breast aesthetics, and morbidity rate were reviewed. Results: Microwave ablation group had lower operational time,  intraoperative blood loss, recovery time, and postoperative suffering pain compared rotational adenomammectomy group and conventional surgery group (P 0.05). Additionally, the results of the rotation-assisted adenomammectomy group were inferior to those of the traditional surgery group (P 0.05). The residual lesions rates after rotational adenomammectomy and microwave ablation were 4.17% and 3.80%, respectively. Additionally, there was no statistically significant difference (P compared to 0.05). Both of them were statistically significantly different (P 0.05) from the 6.66% in the traditional surgery group. In the groups that underwent rotational adenomammectomy, microwave ablation, and conventional surgery, the successful rates of breast appeal were 91.67%, 82.28%, and 68.58%, respectively.  Additionally, there was a statistically significant difference between the groups (P 0.05). Conclusion: benign breast tumors can be correctly dealt with famous surgery, rotational adenomammectomy, and microwave ablation. The microwave ablation better Cosmetic,less pain ,less complications' but surgery still ideal because less recurrance.

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