Interstitial laser hyperthermia, a new method in the management of fibroadenoma of the breast: A pilot study

✍ Scribed by Basu, Somprakas; Ravi, Bina; Kant, Ravi

• Publisher: John Wiley and Sons
• Year: 1999
• Tongue: English
• Weight: 140 KB
• Volume: 25
• Category: Article
• ISSN: 0196-8092
• DOI: 10.1002/(sici)1096-9101(1999)25:2<148::aid-lsm8>3.0.co;2-h

✦ Synopsis

Background and objective:

This study attempts to evaluate the effect of interstitial laser hyperthermia in breast fibroadenomas as an outpatient procedure.

Study design/materials and methods:

In an uncontrolled prospective study, 27 patients younger than 35 years were subjected to laser phototherapy of their breast fibroadenomas. under real-time ultrasound monitoring, nd:yag laser (1,064 nm wavelength) was used at 2 w for 300 sec (600 j) in a continuous wave mode to produce interstitial hyperthermia. follow-ups were done at 2, 4, and 8 weeks. subsequently, excision biopsy of residual lumps was performed.

Results:

There was significant decrease in clinical and sonographic sizes (p < 0.001). follow-up ultrasound showed a progressive change of hyperechoic texture, from a heterogeneous to a nearly homogeneous one. there were minimal scars (2-3 mm) and no keloid or abscess formation.

Conclusion:

Interstitial laser hyperthermia is a safe, precise, and minimally invasive outpatient procedure for in situ destruction of breast fibroadenomas.