Vacuum-assisted excision: a safe minimally invasive option for benign phyllodes tumor diagnosis and treatment—a systematic review and meta-analysis

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorRede Mater Dei de Saúde-
Autor(es): dc.contributorBrazilian Society of Mastology-
Autor(es): dc.contributorUNIFIMOC University Center-
Autor(es): dc.contributorBrazilian Federation of Associations of Gynecologists and Obstetricians-
Autor(es): dc.contributorRedimama-Redimasto-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorLeeds Teaching Hospital National Health Service (NHS) Trust-
Autor(es): dc.contributorRadboud University Medical Center-
Autor(es): dc.contributorThe Netherlands Cancer Institute-
Autor(es): dc.contributorQueen’s University Belfast-
Autor(es): dc.contributorHospital Mater Dei-
Autor(es): dc.contributorUniversidade Federal de Minas Gerais (UFMG)-
Autor(es): dc.contributorFaculty of Medical Sciences of Minas Gerais-
Autor(es): dc.creatorGil, Maria Luísa Braga Vieira-
Autor(es): dc.creatorCoelho, Bertha Andrade-
Autor(es): dc.creatorCouto, Henrique Lima-
Autor(es): dc.creatorSilva, Henrique Moraes Salvador-
Autor(es): dc.creatorPessoa, Eduardo Carvalho-
Autor(es): dc.creatorSharma, Nisha-
Autor(es): dc.creatorMann, Ritse-
Autor(es): dc.creatorMcIntosh, Stuart A.-
Autor(es): dc.creatorDiniz, Paulo Henrique Costa-
Autor(es): dc.creatorCantidio, Farley Soares-
Autor(es): dc.creatorGil, Gabriel Oliveira Bernardes-
Autor(es): dc.creatorSalvador, Anna Dias-
Autor(es): dc.creatorde Almeida Júnior, Waldeir José-
Autor(es): dc.creatorAvelar, José Tadeu Campos-
Autor(es): dc.creatorLaranjeira, Cláudia Lourdes Soares-
Autor(es): dc.creatorSilva Filho, Agnaldo Lopes-
Data de aceite: dc.date.accessioned2025-08-21T18:51:37Z-
Data de disponibilização: dc.date.available2025-08-21T18:51:37Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2023-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.3389/fonc.2024.1394116-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/303801-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/303801-
Descrição: dc.descriptionSynopsis: This is a systematic review and meta-analysis comparing surgical excision with percutaneous ultrasound-guided vacuum-assisted excision (US-VAE) for the treatment of benign phyllodes tumor (PT) using local recurrence (LR) as the endpoint. Objective: To determine the frequency of local recurrence (LR) of benign phyllodes tumor (PT) after ultrasound-guided vacuum-assisted excision (US-VAE) compared to the frequency of LR after surgical excision. Method: A systematic review and meta-analysis [following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standard] was conducted by comparing LR in women older than 18 years treated for benign PT by US-VAE compared with local surgical excision with at least 12 months of follow-up. Studies were retrieved from PubMed, Scopus, Web of Science, and Embase. The pooled effect measure used was the odds ratio (OR) of recurrence. Results: Five comparative prospective or retrospective observational studies published between January 1, 1992, and January 10, 2022, comparing surgical excision with percutaneous US-VAE for LR of benign PT met the selection criteria. Four were retrospective observational cohorts, and one was a prospective observational cohort. A total of 778 women were followed up. Of them, 439 (56.4%) underwent local surgical excision, and 339 (43.6%) patients had US-VAE. The median age of patients in the five studies ranged from 33.7 to 39 years; the median size ranged from 1.5 cm to 3.0 cm, and the median follow-up ranged from 12 months to 46.6 months. The needle gauge ranged from 7G to 11G. LR rates were not statically significant between US-VAE and surgical excision (41 of 339 versus 34 of 439; OR 1.3; p = 0.29). Conclusion: This meta-analysis suggests that using US-VAE for the removal of benign PT does not increase local regional recurrence and is a safe minimally invasive therapeutic option. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42022309782.-
Descrição: dc.descriptionMastology Department Rede Mater Dei de Saúde, Minas Gerais-
Descrição: dc.descriptionBreast Imaging Department Brazilian Society of Mastology, Rio de Janeiro-
Descrição: dc.descriptionDepartment of Obtetrics and Gynecology UNIFIMOC University Center, Minas Gerais-
Descrição: dc.descriptionBreast Imaging Department Brazilian Federation of Associations of Gynecologists and Obstetricians, Rio de Janeiro-
Descrição: dc.descriptionRedimama-Redimasto, Minas Gerais-
Descrição: dc.descriptionDepartment of Obstetrics and Gynecology Botucatu Medical School Sao Paulo State University (UNESP), Sao Paulo-
Descrição: dc.descriptionBreast Screening Unit Seacroft Hospital Leeds Teaching Hospital National Health Service (NHS) Trust-
Descrição: dc.descriptionDepartment of Medical Imaging Radboud University Medical Center-
Descrição: dc.descriptionDepartment of Radiology The Netherlands Cancer Institute-
Descrição: dc.descriptionPatrick G Johnston Centre for Cancer Research Queen’s University Belfast-
Descrição: dc.descriptionOncology Department Hospital Mater Dei, Minas Gerais-
Descrição: dc.descriptionInternal Medicine Department Federal University of Minas Gerais, Minas Gerais-
Descrição: dc.descriptionRadiotherapy Department Hospital Mater Dei, Minas Gerais-
Descrição: dc.descriptionDepartment of Obstetrics and Gynecology Faculty of Medical Sciences of Minas Gerais, Minas Gerais-
Descrição: dc.descriptionObstetrics and Gynecology Department Rede Mater Dei de Saúde, Minas Gerais-
Descrição: dc.descriptionDepartment of Obstetrics and Gynecology Federal University of Minas Gerais, Minas Gerais-
Descrição: dc.descriptionDepartment of Obstetrics and Gynecology Botucatu Medical School Sao Paulo State University (UNESP), Sao Paulo-
Idioma: dc.languageen-
Relação: dc.relationFrontiers in Oncology-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectlocal recurrence-
Palavras-chave: dc.subjectmeta-analysis-
Palavras-chave: dc.subjectphyllodes tumor-
Palavras-chave: dc.subjectreview-
Palavras-chave: dc.subjectvacuum-assisted biopsy-
Palavras-chave: dc.subjectvacuum-assisted excision-
Título: dc.titleVacuum-assisted excision: a safe minimally invasive option for benign phyllodes tumor diagnosis and treatment—a systematic review and meta-analysis-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

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