[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
May 5, 2004

Ultrasound-Guided Minimally Invasive Surgery for Fibroadenomas

Author Affiliations

Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Surg. 2004;139(5):564. doi:10.1001/archsurg.139.5.564

We agree with Sperber et al1 that ultrasound-guided minimally invasive surgery provides a definitive option for treatment of fibroadenomas. This series adds to the growing body of evidence in the literature that benign breast disorders can be treated in a minimally invasive fashion without any significant scarring. Indeed, we have extended the use of this modality by treating not only fibroadenomas but also gynecomastia by using the 8-gauge rather than the 11-gauge probe. Using this technique, we have excised fibroadenomas as large as 4.5 cm in diameter, as well as successfully treating many men with gynecomastia by combining the Mammotome (Ethicon Endo-Surgery Inc, Cincinnati, Ohio) excision of the glandular tissue with sculpturing with liposuction. Therefore, we have had to use local anesthetic and sedation rather than just local anesthetic, but we believe the authors are correct in promoting the use of local anesthetic alone in smaller lesions.