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The breast lesion excision system (BLES): a novel technique in the diagnostic and therapeutic management of small indeterminate breast lesions?

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Abstract

Objective

To investigate whether the breast lesion excision system (BLES) could render formal surgery unnecessary in patients with small indeterminate breast lesions.

Methods

Following review board ethical permission and the consent of each patient, we aimed to perform a complete excision biopsy, with a margin, of small indeterminate breast lesions that measure less than 1 cm. 76 patients with small BIRADS type 3 breast lesions underwent a BLES biopsy. Mean radiological lesion size was 7.1 mm (range 2–10 mm).

Results

61 lesions had a final benign diagnosis, 6 of which underwent subsequent surgery although only 1 showing residual lesion. 15 lesions were malignant but with residual tumour at re-excision present in only 5 cases.

Conclusion

The BLES biopsy is an efficacious technique at excising small indeterminate breast lesions with a complete margin without the need for follow-up diagnostic surgery in the majority.

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Acknowledgements

No funding has been obtained in relation to this study and paper.

The authors state that there is no conflict of interest, financial or otherwise, involved in the preparation or the submission of this article.

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Authors and Affiliations

  1. Department of Radiology, The Royal Marsden Hospital, Downs Road, Sutton, Surrey, SM2 5PT, UK

    Steven D. Allen

  2. Department of Histopathology, Royal Marsden Hospital, Downs Road, Sutton, Surrey, SM2 5PT, UK

    Ashish Nerurkar

  3. Department of Surgery, Royal Marsden Hospital, Downs Road, Sutton, Surrey, SM2 5PT, UK

    Guidabaldo U. Querci Della Rovere

Authors
  1. Steven D. Allen
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  2. Ashish Nerurkar
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  3. Guidabaldo U. Querci Della Rovere
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Corresponding author

Correspondence to Steven D. Allen.

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Allen, S.D., Nerurkar, A. & Della Rovere, G.U.Q. The breast lesion excision system (BLES): a novel technique in the diagnostic and therapeutic management of small indeterminate breast lesions?. Eur Radiol 21, 919–924 (2011). https://doi.org/10.1007/s00330-010-2000-7

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  • DOI: https://doi.org/10.1007/s00330-010-2000-7

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