Good cosmetic outcome after vacuum assisted excision of benign breast lesions

2020 ◽  
Vol 138 ◽  
pp. S26
Author(s):  
E. Van De Voort ◽  
T. Klem ◽  
G. Struik ◽  
E. Birnie ◽  
R. Sinke ◽  
...  
Keyword(s):  
Cosmetic Outcome ◽  
Breast Lesions ◽  
Good Cosmetic Outcome ◽  
Good Cosmetic ◽  
Benign Breast Lesions

scholarly journals Patient reported cosmetic outcome after vacuum assisted excision of benign breast lesions: a cross-sectional study

2020 ◽  
Vol 93 (1114) ◽  
pp. 20190994
Author(s):  
Elles M.F. van de Voort ◽  
Taco M.A.L. Klem ◽  
Gerson M. Struik ◽  
Erwin Birnie ◽  
Renata H.J.A. Sinke ◽  
...  
Keyword(s):  
Tumor Size ◽  
Surgical Excision ◽  
Cosmetic Outcome ◽  
Study Patient ◽  
Breast Lesions ◽  
Benign Lesions ◽  
Complete Excision ◽  
Cross Sectional ◽  
Patient Reported ◽  
Benign Breast Lesions

Objective: Better cosmetic outcome after vacuum assisted excision (VAE) compared to surgical excision of benign breast lesions is suggested in previous studies but has never been evaluated with validated outcome measures. In this study, patient reported cosmetic outcome after VAE was evaluated. Methods: Patients who underwent VAE between July 2017 and December 2018 were invited to complete the cosmetic subscale of the Dutch Breast Cancer Treatment Outcome Scale, comparing the treated with the untreated breast. Response mode ranged from 1 (no difference) to 4 (large difference) and cosmetic outcome was calculated as the unweighted mean. Clinical outcomes included: tumor size, number of cores, complications, residual lesions and recurrences. Results: Response rate was 73.4% (47 of 64 patients). Median tumor size was 15 mm (range 5–51 mm) and median number of cores 6.5 (range 1–85), complete excision was confirmed in all but two patients. Mean cosmetic outcome was good (mean score ≤1.75) in 74% of patients and no patients reported a poor cosmetic outcome (mean score >3.25). A hematoma occurred in five patients (one needed aspiration) and a skin rash in one patient, no patients developed an infection or seroma. Conclusion: In this study VAE is safe and effective for tumors up to 5 cm and patient reported cosmetic outcome was good. Patients with benign lesions could benefit from VAE as an alternative for surgical excision. Advances in knowledge: A formal quantitative measurement of cosmetic outcome after vacuum assisted excision for benign breast lesions was still lacking. This study shows that this cosmetic outcome is overall good in benign lesions up to 5 cm.

scholarly journals Synlabia after Severe Monilia Infections: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Samia M. A. Saied
Keyword(s):  
Case Report ◽  
Complete Recovery ◽  
Cosmetic Outcome ◽  
Rapid Recovery ◽  
Urine Retention ◽  
Good Cosmetic Outcome ◽  
Labia Majora ◽  
Acute Urine Retention ◽  
Good Healing ◽  
Good Cosmetic

Case. A 25-year-old woman presented with acute urine retention with overflow 6 months after an inadequate treatment of severe monilia infections. Examination revealed complete adhesion between both labia majora. Division of adhesion was done with reconstruction by labial mucocutaneous flap. Complete recovery was achieved with good cosmetic outcome.Conclusion. Labial adhesions whatever their severity is can be surgically divided with complete correction by locally designed flap to reconstruct the introuitus with rapid recovery, good healing, and good cosmetic outcome.

scholarly journals Using the head as a mould for cranioplasty with methylmethacrylate

2013 ◽  
Vol 04 (04) ◽  
pp. 471-474 ◽  
Author(s):  
G. M. Bot ◽  
N. J. Ismail ◽  
B. Usman ◽  
D. J. Shilong ◽  
J. O. Obande ◽  
...  
Keyword(s):  
Wound Healing ◽  
Skull Fracture ◽  
Exothermic Reaction ◽  
Cosmetic Outcome ◽  
Depressed Skull Fracture ◽  
Good Cosmetic Outcome ◽  
Good Outcome ◽  
Cranial Defect ◽  
Good Cosmetic ◽  
Methacrylate Monomer

ABSTRACTMethacrylate is a valuable tool to the neurosurgeon, even though it is currently being replaced by custom bone. During cranioplasty in the absence of custom bone, which is preformed based on the patients imaging, one has to make a cast to cover the cranial defect with or without the use of a mould. A good artificial skull outline is necessary for prevention of implant extrusion and acceptable cosmetic outcome. Using the patients head as a mould is a simple, cheap, and useful technique. An incision is made, and either a craniectomy or an attempt at skull elevation or separation of the scalp from dura is done based on the indication for the cranioplasty. The methacrylate monomer is mixed with its solvent. It is placed in between a sliced glove and then thinned out. Several layers of drapes are placed on the patients head, the acrylate which is in between the gloves is then placed on the drapes. As soon as it starts setting and the required shape obtained, it is removed and place on the sterile tray. It is then anchored and the wound closed. This technique produces good cosmetic outcome. However, the head must be properly protected from the risk of burns from the exothermic reaction. The technique is described in a 40‑year‑old driver who had a compound depressed skull fracture. He had a methylmethacrylate cranioplasty in the 9th week post trauma after allowing for wound healing. We recommend that this technique may be used in centers where custom bone is either too expensive or not available during cranioplasty in order to obtain a good outcome.

scholarly journals Novel Therapy for Pseudocyst of Pinna – An Institutional Study

2018 ◽  
Vol 26 (2) ◽  
pp. 112-116
Author(s):  
Debdulal Chakraborty ◽  
Chiranjib Das
Keyword(s):  
Cost Effective ◽  
Neck Surgery ◽  
Cosmetic Outcome ◽  
Treatment Modalities ◽  
Novel Therapy ◽  
Medical College ◽  
Good Cosmetic Outcome ◽  
Number Of Patients ◽  
Good Cosmetic ◽  
A Prospective Study

Introduction Pseudocyst of pinna is a cystic swelling with collection of serous fluid between the auricular cartilage and perichondrium. Successful treatment of pseudocyst of pinna is challenging because of its high propensity for recurrence and cosmetic deformity. None of the treatment modalities described in literature gives fully satisfactory result. So a novel treatment modality is required which gives good cosmetic outcome with zero recurrence. Materials and Methods                                                        A prospective study was done in the Department of ENT and Head and Neck Surgery of a Government Medical College, West Bengal from April 2014 to March 2017. The effusion was aspirated aseptically with sterilized 10 ml syringe with 18G IV needle. An equal amount of Inj. Dexamethasone and Inj. Gentamicin 80 mg in 1:1 ratio mixed in a new 10 ml syringe was injected into the swelling through the same prick point. Result Most of the patients in this study were males between 31-40 years of age and labourer by profession. Maximum number of patients had swelling involving concha. Only one case of one month old infant had bilateral involvement. All patients were cured without any recurrence or disfigurement. Conclusion The results of present study points to the fact that aspiration and instillation of equal amount of Inj. Dexamethasone and Inj. Gentamicin works very good in treatment of pseudocyst of pinna. This therapy is minimally invasive, less painful, cost-effective and less cumbersome for the surgeon. It gives faster recovery, good cosmetic outcome and recurrence is prevented.

201Tl Scintigraphy in the Evaluation of Palpable and Nonpalpable Breast Lesions: Correlation with Mammography and Ultrasonography

1997 ◽  
Vol 36 (08) ◽  
pp. 282-288 ◽  
Author(s):  
T. Atasever ◽  
A. Özdemir ◽  
I. Öznur ◽  
N. I. Karabacak ◽  
N. Gökçora ◽  
...  
Keyword(s):  
Final Diagnosis ◽  
Lower Sensitivity ◽  
Breast Lesions ◽  
Breast Cancers ◽  
Combined Use ◽  
Malignant Breast ◽  
Malignant Lesions ◽  
Benign Breast Lesions ◽  
Palpable Breast ◽  
Metastatic Sites

Summary Aim: Our goal was to determine the clinical usefulness of TI-201 to identify breast cancer in patients with suspicious breast lesions on clinical examination, and/or abnormal radiologic (mammography and/or ultrasonography) findings. Methods: TI-201 scintigraphy were performed in sixty-eight patients with 70 breast abnormalities (51 palpable, 19 nonpalpable) and compared with mammography and ultrasonography (US). Early (15 min) and late (3 h) images of the breasts were obtained following the injection of 111 MBq (3 mCi) of TI-201. Visual and semiquantitative interpretation was performed. Results: Final diagnosis confirmed 52 malignant breast lesions and 18 benign conditions. TI-201 visualized 47 of 52 (90%) overall malignant lesions. Thirty-eight of 40 (95%) palpable and 9 of 12 (75%) nonpalpable breast cancers were detected by TI-201 scintigraphy. The smallest mass lesion detected by TI-201 measured 1.5x1.0 cm. Eleven breast lesions were interpreted as indeterminate by mammography and/or sonography. TI-201 scintigraphy excluded malignancy in 7 of 8 (88%) patients with benign breast lesions interpreted as indeterminate. Five of the 18 (28%) benign breast lesions showed TI-201 uptake. None of the fibroadenoma and fibrocystic changes accumulated TI-201. TI-201 scintigraphy, mammography and ultrasonography showed 90%, 92%, 85% overall sensitivity and 72%, 56%, 61% overall specificity respectively. Twenty-one of the 28 (75%) axillary nodal metastatic sites were also detected by TI-201. In malignant and benign lesions, early and late lesion/contralateral normal side (L/N) ratios were 1.58 ± 0.38 (mean ± SD) and 1.48 ± 0.32 (p >0.05), 1.87 ± 0.65 and 1.34 ± 0.20 (p<0.05) respectively. The mean early and late L/N ratios of malignant and benign groups did not show statistical difference (p>0.05). Conclusion: Overall, TI-201 scintigraphy was the most specific of the three methods and yielded favourable results in palpable breast cancers, while it showed lower sensitivity in nonpalpable cancers and axillary metastases. Combined use of TI-201 scintigraphy with mammography and US seems to be useful in difficult cases, such as dense breasts and indeterminate breast lesions.

scholarly journals MRI-Guided Diffuse Optical Spectroscopy of Malignant and Benign Breast Lesions

Neoplasia ◽  
2002 ◽  
Vol 4 (4) ◽  
pp. 347-354 ◽  
Author(s):  
Vasilis Ntziachristos ◽  
A.G. Yodh ◽  
Mitchell D. Schnall ◽  
Britton Chance
Keyword(s):  
Optical Spectroscopy ◽  
Breast Lesions ◽  
Diffuse Optical Spectroscopy ◽  
Benign Breast Lesions ◽  
Mri Guided
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