Efficacy of Vacuum-Assisted Breast Biopsy in the Treatment of Benign Breast Tumors

Abstract

Objective: To evaluate the efficacy and safety of vacuum-assisted breast biopsy (VABB) in the treatment of benign breast lesions at Bai Chay Hospital. Methods: A case series study was conducted on 50 patients with BIRADS 3 benign breast lesions confirmed by fine-needle aspiration. All patients underwent ultrasound-guided VABB using 7G or 10G needles. Post-procedural follow-up was performed at 24 hours, 1 week, 1 month, and 3 months to assess complications and treatment outcomes. Results: The mean patient age was 35.9 ± 11.4 years. Complete lesion removal was achieved in 100% of cases after 3 months. Mild complications included hematoma (64%) and skin ecchymosis (28%), with no persistent pain or skin necrosis. Hematoma size decreased significantly over time and nearly resolved by 3 months. There was no statistically significant association between lesion size and complication rates (p > 0.05). Conclusion: VABB is a safe, effective, and minimally invasive method for treating benign breast lesions, suitable for use in provincial hospitals with appropriate equipment and trained personnel.