Correspondence |

Ultrasound-Guided Minimally Invasive Surgery for Fibroadenomas

O. C. Iwuagwu, MBBS, FRCS; Philip J. Drew, MD(Hons), FRCS(Ed Eng & Glas), FRCS (Gen)
Arch Surg. 2004;139(5):564. doi:10.1001/archsurg.139.5.564.
Text Size: A A A
Published online


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.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles