Kirill Levchenko

Radiologist , Russia

Title: Optimization of treatment results for patients who underwent vacuum-assisted total biopsy of breast fibroadenomas


Introduction.  Vacuum-assisted biopsy has been used in mammology since 1995.  Over the past years of use, the method has proven to be effective not only in diagnosing tumor pathology of the mammary glands, but also in its treatment.  Total biopsy of benign tumors has become an adequate alternative to surgical treatment.  In Russia, this method has been used since 2007.  Every year, more and more doctors use vacuum-assisted biopsy as a low-traumatic method that does not require anesthesia or hospitalization, and is characterized by a short recovery period after the intervention.
Purpose: The purpose of this study was to introduce methods and techniques that improve the results of vacuum-assisted biopsy of breast fibroadenomas performed in a total volume.
Methods and materials: The study involved 30 women aged 24 to 56 years diagnosed with breast fibroadenoma who underwent vacuum-assisted total biopsy between 2018 and 2022.
Results. In the postoperative period, to prevent complications and stimulate regeneration, the phototherapy method was used in combination with local conservative therapy.  Phototherapy after vacuum-assisted total biopsy of fibroadenomas contributed to a reduction in recovery time after the intervention, a reduction in the size of hematomas and residual cavity by 20% (p<0.05).  All patients received conservative therapy due to their hormonal status after removal of fibroadenomas for at least 4 months, followed by repeated courses.  Recurrence of fibroadenomas was observed only in 6.6% of cases, over a follow-up period of up to 5 years.
The second direction of the study was to improve the condition of the scar area 1-2 years after vacuum-assisted total biopsy of fibroadenomas through the use of permanent camouflage.  According to this study, permanent camouflage may be required in 20% of women to achieve ideal aesthetic results.  All women who underwent the permanent camouflage procedure noted that the procedure was well tolerated and were satisfied with the result.
Conclusion.  Phototherapy and its use in the early postoperative period after vacuum-assisted total biopsy of fibroadenomas contributed to a reduction in recovery time.  Conservative therapy is a mandatory addition to minimally invasive treatment, improving its results.  Permanent camouflage made it possible to eliminate the consequences and improve the results of minimally invasive treatment of fibroadenomas.


Dr. Kirill Levchenko is an oncologist, specialist in radiology diagnostics of breast diseases at the regional oncology center in Kuzbass.  Has been involved in mammology issues for more than 15 years.  Area of interest is conservative and minimally invasive treatment of benign breast diseases.  Author of more than 40 articles, 8 patents, recommendations for doctors, online projects for doctors and patients.