AI Article Synopsis
- The study explores the relationship between biopsy techniques and postmastectomy wound complications.
- Fine-needle aspiration (FNA) biopsy shows a significantly lower wound infection rate (1.6%) compared to open biopsy (6.9%) among patients who underwent mastectomy.
- The findings suggest that using FNA biopsy as a diagnostic method may help reduce the occurrence of wound infections after mastectomy.
Article Abstract
Background: Wound complication rates after mastectomy are associated with several factors, but little information is available correlating biopsy technique with the development of postmastectomy wound complications. Fine-needle aspiration (FNA) biopsy is an accurate method to establish a diagnosis, but it is unknown whether this approach has an impact on complications after mastectomy.
Methods: Charts of 283 patients undergoing 289 mastectomies were reviewed to investigate any association between biopsy technique and postmastectomy complications.
Results: The diagnosis of breast cancer was made by FNA biopsy in 50%, open biopsy in 49.7%, and core needle biopsy in 0.3%. The overall wound infection rate was 5.3% (14 of 266), but only 1.6% when FNA biopsy was used compared with 6.9% with open biopsy (p = 0.06). Among 43 patients undergoing breast reconstruction concomitantly with mastectomy, the infection rate was 7.1% (0% after FNA, 12% after open biopsy). Neither the development of a postoperative seroma (9.8%) nor skin flap necrosis (5.6%) was influenced by the biopsy technique used.
Conclusions: These data suggest that wound infections after mastectomy may be reduced when the diagnosis of breast cancer is established by FNA biopsy.
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| http://dx.doi.org/10.1007/BF02306285 | DOI Listing |
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