WHAT ARE THE NON-SURGICAL (PERCUTANEOUS) FIBROADENOMA TREATMENT METHODS?

These methods are basically divided into two groups.

1. Treatments that use a thick needle to remove fibroadenomas from the breast, either as a whole or by fragmenting them (BLES, Vacuum Biopsy System).

BLES is the short form of the English term "Breast Lesion Excision System." In BLES, after local anesthesia, a special needle containing wires that cut the tissue with radiofrequency is inserted under sonographic guidance to the edge of the fibroadenoma. The wires extending from the needle burn the surrounding tissue with radiofrequency, separating the fibroadenoma from its surroundings and encircling it. The needle is cut, enclosed in a wire mesh, and removed in one piece. This procedure takes just a few minutes, and the fibroadenoma is completely removed, similar to surgery. Fibroadenomas up to 2.5 cm in diameter can be completely removed with this method.

The vacuum biopsy system has been used for years when a large amount of biopsy material is required percutaneously in the breast. In this system, after a thick needle is inserted into the biopsy site, the tissue is drawn into the needle by vacuum and cut with a rotating blade system. The excised tissue is suctioned out through the needle. This process can be repeated continuously without removing the needle from the breast. The sonography-guided Vacuum Biopsy System has been successfully used in the treatment of fibroadenomas (removing multiple pieces of tissue). Fibroadenomas up to 4 cm in size can be completely removed with this method under local anesthesia.

2. Treatments that desAtroy fibroadenomas within the breast through the skin, disrupt their growth, and shrink them (cryoablation, laser ablation, sound wave ablation).

In sound wave ablation (echotherapy), high-energy, focused, repetitive sound waves are delivered to the targeted fibroadenoma using sonography, causing the fibroadenoma to die. This procedure is performed entirely transcutaneously, eliminating the need for a single needle injection.

In cryoablation and laser ablation, a special needle (probe) is inserted through a tiny incision in the skin under local anesthesia and ultrasound guidance into the center of the fibroadenoma. The fibroadenoma is then frozen (cryoablation) or burned (laser ablation) through this needle, rendering it non-viable. The non-viable fibroadenoma shrinks over time.

For more information, please visit fibroadenomonline.com.