Clinical efficacy and safety of ultrasound-guided high-intensity focused ultrasound for breast fibroadenoma: a systematic review and meta-analysis.

IF 3 3区 医学 Q2 ONCOLOGY International Journal of Hyperthermia Pub Date : 2024-01-01 Epub Date: 2024-07-25 DOI:10.1080/02656736.2024.2374874
Xiuying Wu, Xuewen Yue, Hong Liu, Haoran Huang, Dan Yao, Yujun Guo, Wenzhi Chen, Cai Zhang
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Abstract

Objective: The purpose of this systematic review and meta-analysis was to assess the clinical efficacy and safety of ultrasound (US)-guided high intensity focused ultrasound (HIFU) in the treatment of breast fibroadenoma in different studies.

Methods: Studies evaluating the efficacy and safety of US-guided HIFU in the treatment of histologically-proven FA with follow-up outcomes of more than 3 months were searched through MEDLINE/PubMed databases. Volume reduction rate (VRR) and side effects were extracted and compared for further analysis.

Results: Of 29 identified articles, 10 studies involving 385 women and more than 545 FAs met the inclusion criteria. The mean VRR at 6 months and 12 months after HIFU was 52.00% and 72.00%. In terms of intraoperative safety, nine studies reported mild to moderate pain, with an average visual analogue scale (VAS) score ranging from 1.60 to 7.10. The most common postoperative side effect associated with HIFU was subcutaneous ecchymosis and less frequent were pain, erythema, and skin pigmentation, most of which disappeared within weeks. No serious side effects were observed.

Conclusion: S-guided HIFU is an effective and safe noninvasive treatment for breast FA that does not cause serious side effects. Further studies are needed to explore crucial influencing factors of VRR.

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超声引导下高强度聚焦超声治疗乳腺纤维腺瘤的临床疗效和安全性:系统综述和荟萃分析。
目的:本系统综述和荟萃分析旨在评估不同研究中超声(US)引导下高强度聚焦超声(HIFU)治疗乳腺纤维腺瘤的临床疗效和安全性:方法:在MEDLINE/PubMed数据库中检索随访结果超过3个月的评估US引导下HIFU治疗组织学证实的FA的有效性和安全性的研究。结果:在29篇已确定的文章中,有10篇涉及385名女性和超过545名FA的研究符合纳入标准。HIFU术后6个月和12个月的平均VRR分别为52.00%和72.00%。在术中安全性方面,9 项研究报告了轻度至中度疼痛,平均视觉模拟量表(VAS)评分从 1.60 到 7.10 不等。HIFU 最常见的术后副作用是皮下瘀斑,较少见的是疼痛、红斑和皮肤色素沉着,这些副作用大多在数周内消失。没有观察到严重的副作用:结论:S 导向 HIFU 是治疗乳腺纤维瘤的一种有效而安全的无创疗法,不会引起严重的副作用。需要进一步研究探讨 VRR 的关键影响因素。
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来源期刊
CiteScore
5.90
自引率
12.90%
发文量
153
审稿时长
6-12 weeks
期刊介绍: The International Journal of Hyperthermia
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