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British Institute of Radiology, British Journal of Radiology, 2024

DOI: 10.1093/bjr/tqae028



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Minimally invasive treatment of early, good prognosis breast cancer—is this feasible?

Journal article published in 2024 by M. Mactier ORCID, S. A. McIntosh ORCID, N. Sharma ORCID
Distributing this paper is prohibited by the publisher
Distributing this paper is prohibited by the publisher

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Abstract Breast cancer screening programmes frequently detect early, good prognosis breast cancers with significant treatment burden for patients, and associated health-cost implications. Emerging evidence suggests a role for minimally invasive techniques in the management of these patients enabling many women to avoid surgical intervention. Minimally invasive techniques include vacuum-assisted excision, cryoablation and radiofrequency ablation. We review published evidence in relation to the risks and benefits of each technique and discuss ongoing trials. Data to date are promising, and we predict a trend towards minimally invasive treatment for early, good prognosis breast cancer as technical skills, suitability criteria and follow-up protocols are established.