@misc{Brzuszkiewicz_Karolina_Modern_2020,
 author={Brzuszkiewicz, Karolina},
 address={Kraków},
 howpublished={online},
 year={2020},
 school={Wydział Lekarski},
 language={pol; eng},
 abstract={Advances in imaging techniques result in the detection of breast lesions at the preclinical stage, forcing clinicians to search for minimally invasive and effective methods of histopathological evaluation such as the vacuum-assisted biopsy (VAB) and the Breast Lesion Excision System (BLES). The other problem are B3 lesions that can be revealed in biopsy of breast lesion. The risk of coexisting cancer in this group led to search for clinical predictors of cancer underestimation. The aim of the study was to compare VAB and BLES, to identify clinical predictors of cancer underestimation in patients with B3 lesions, to evaluate the morphology of ADH on ultrasound and mammogram imaging. The study involved patients who underwent VAB or BLES biopsy in the period 2000- 2018. To compare biopsy techniques an oryginal questionnaire was used. Then all patients with B3 lesions were revealed. There were no significant differences between the VAB and the BLES in the course of the procedure, early and late complications and cosmetic effect. Both techniques might be used for diagnostic and terapeutic purposes. The lesions with the highest risk of underestimation among B3 changes were intraductal papillomas (IP) and atypical ductal hyperplasia. As the risk of breast malignancy underestimation in case of ADH is relatively high and the factors that preclude cancer underestimation were not identifi},
 abstract={ed, all the women diagnosed with ADH should undergo open surgical biopsy. Surgical excision is not indicated in cases of a pure intraductal papilloma, and when data correlation between the diagnosis and the clinical presentation were confirmed},
 title={Modern minimally invasive biopsy techniques in the diagnosis and treatment of breast focal lesions},
 type={Praca doktorska},
 keywords={breast cancer, BLES, VAB, B3 lesions, ADH},
}