asurgeryАмбулаторная хирургияAmbulatornaya khirurgiya = Ambulatory Surgery (Russia)2712-87412782-2591ООО «ГРУППА РЕМЕДИУМ»10.21518/akh2024-021asurgery-450Research ArticleОНКОЛОГИЯONCOLOGYВакуумная аспирационная биопсия: эволюция метода, профилактика геморрагических осложненийVacuum aspiration biopsy: evolution of the method, prevention of hemorrhagic complicationshttps://orcid.org/0009-0006-6668-4291ЛевановА. В.LevanovA. V.

Леванов Анатолий Васильевич, д.м.н., врач-онколог

117593, Москва, Литовский бульвар, д. 1а

Anatoliy V. Levanov, Dr. Sci. (Med.), Oncologist

1а, Litovskiy Boulevard, Moscow, 117593

lavina2003@inbox.ruhttps://orcid.org/0000-0001-5639-3315МарущакЕ. А.MarushchakE. A.

Марущак Елена Александровна, к.м.н., заведующая отделением ультразвуковой диагностики

117593, Москва, Литовский бульвар, д. 1а

Elena A. Marushchak, Cand. Sci. (Med.), Head of the Ultrasound Diagnostics Department

1а, Litovskiy Boulevard, Moscow, 117593

marushchak@mail.ruhttps://orcid.org/0009-0006-1107-2431СидоровА. О.SidorovA. O.

Сидоров Артем Олегович, младший научный сотрудник, врач-рентгенолог

117593, Москва, Литовский бульвар, д. 1а

Artem O. Sidorov, Junior Researcher, Radiologist

1а, Litovskiy Boulevard, Moscow, 117593

sidorov40rus@gmail.comhttps://orcid.org/0000-0002-8179-2059НекрасовД. А.NekrasovD. A.

Некрасов Дмитрий Александрович, заведующий дневным стационаром

117593, Москва, Литовский бульвар, д. 1а

Dmitriy A. Nekrasov, Head of Day Hospital

1а, Litovskiy Boulevard, Moscow, 117593

da.nekrasov@mail.ruhttps://orcid.org/0000-0001-7147-7912МниховичМ. В.MnikhovichM. V.

Мнихович Максим Валерьевич, к.м.н., доцент, ведущий научный сотрудник центральной патолого-анатомической лаборатории

117418, Москва, ул. Цюрупы, д. 3

Maxim V. Mnikhovich, Cand. Sci. (Med.), Assistant Professor, Leading Researcher of Central Pathoanatomical Laboratory

3, Tsyurupа St., Moscow, 117418

mnichmaxim@yandex.ruhttps://orcid.org/0009-0003-9951-801XВетлицынаС. В.VetlitsynaS. V.

Ветлицына Светлана Владимировна, студент

117997, Москва, ул. Островитянова, д. 1

Svetlana V. Vetlitsyna, Student

1, Ostrovityanov St., Moscow, 117997

svetav2001@yandex.ruhttps://orcid.org/0000-0002-5947-1523ШирипенкоИ. А.ShiripenkoI. A.

Ширипенко Иван Александрович, лаборант-исследователь центральной патолого-анатомической лаборатории

117418, Москва, ул. Цюрупы, д. 3

Ivan A. Shiripenko, Research Laboratory Assistant

3, Tsyurupа St., Moscow, 117418

hikkiwahikki@gmail.comhttps://orcid.org/0000-0003-1838-5802АхсановаП. А.AkhsanovaP. A.

Ахсанова Полина Алексеевна, студент

117198, Москва, ул. Миклухо-Маклая, д. 6

Polina A. Akhsanova, Student

6, Miklukho-Maklai St., Moscow, 117198

doc.polina.tarasova@gmail.comhttps://orcid.org/0000-0002-8950-9684СмеяновВ. В.SmeianovV. V.

Смеянов Владимир Владиславович, к.м.н., доцент кафедры биологии Медицинского института

369001, Карачаево-Черкесская Республика, Черкесск, ул. Ставропольская, д. 36

Vladimir V. Smeianov, Cand. Sci. (Med.), Associate Professor of the Department of Biology

36, Stavropolskaya St., Cherkessk, Karachay-Cherkess Republic, 369001

smeianov@gmail.comhttps://orcid.org/0000-0003-4255-3861КатчиеваП. Х.KatchievaP. K.

Катчиева Палина Халитовна, к.м.н., директор

369000, Карачаево-Черкесская Республика, Черкесск, ул. Комсомольская, д. 34, корп. 42

Palina K. Katchieva, Cand. Sci. (Med.), Director

34, Bldg. 42, Komsomolskaya St., Cherkessk, Karachay-Cherkess Republic, 369000

pkatchieva@inbox.ruНаучно-клинический центр №2 Российского научного центра хирургии имени академика Б.В. ПетровскогоРоссияScientific and Clinical Center No. 2 of Petrovsky National Research Centre of SurgeryRussian FederationНаучно-исследовательский институт морфологии человека имени академика А.П. Авцына Российского научного центра хирургии имени академика Б.В. ПетровскогоРоссияAvtsyn Research Institute of Human Morphology of Petrovsky National Research Centre of SurgeryRussian FederationРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаРоссияPirogov Russian National Research Medical UniversityRussian FederationРоссийский университет дружбы народов имени Патриса ЛумумбыРоссияPeoples’ Friendship University of Russia named after Patrice LumumbaRussian FederationСеверо-Кавказская государственная академияРоссияNorth Caucasian State AcademyRussian FederationИнститут развития биотехнологийРоссияInstitute of Development of BiotechnologyRussian Federation202418112024212142152Copyright © Леванов А.В., Марущак Е.А., Сидоров А.О., Некрасов Д.А., Мнихович М.В., Ветлицына С.В., Ширипенко И.А., Ахсанова П.А., Смеянов В.В., Катчиева П.Х., 20242024Леванов А.В., Марущак Е.А., Сидоров А.О., Некрасов Д.А., Мнихович М.В., Ветлицына С.В., Ширипенко И.А., Ахсанова П.А., Смеянов В.В., Катчиева П.Х.Levanov A.V., Marushchak E.A., Sidorov A.O., Nekrasov D.A., Mnikhovich M.V., Vetlitsyna S.V., Shiripenko I.A., Akhsanova P.A., Smeianov V.V., Katchieva P.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.a-surgeon.ru/jour/article/view/450

В России ежегодно регистрируется более 70 000 новых случаев рака молочной железы. Растет и количество случаев доброкачественных дисплазий молочных желез, пролиферативные формы которых имеют повышенный риск развития рака молочной железы, особенно при наличии атипии. Определить гистологический подтип заболевания возможно только после морфологического исследования, что ставит перед врачом задачу выбора оптимального способа получения биоптата. Вакуумная аспирационная биопсия – малоинвазивный способ диагностики генеза очаговой патологии молочной железы, который также применяется с лечебной целью для полного удаления новообразований доброкачественного характера. Высокая степень эффективности, а также благоприятные клинические исходы позволили вакуумной аспирационной биопсии завоевать широкую популярность в клинической практике, благодаря чему метод получил широкое развитие. Однако, как и любое хирургическое вмешательство, процедура вакуумной аспирационной биопсии может сопровождаться осложнениями, основную долю которых составляют геморрагические. Авторы обобщили и систематизировали информацию о развитии методики вакуумной аспирационной биопсии, распространенности и факторах риска осложнений, а также методах их профилактики и своевременной ликвидации. Научные публикации, цитируемые в данном литературном обзоре, были отобраны из базы данных медицинских и биологических публикаций Pubmed (Национальный центр биотехнологической информации (NCBI), США), базы данных Сlinical Key (корпорация Elsevier, Нидерланды), Web of Science Citation Indexing Database (Clarivate, США), Google Scholar (CIF), научной электронной библиотеки elibrary.ru (Россия). Представленная в статье информация может стать теоретической основой для будущих исследований, направленных на повышение безопасности, дальнейшее развитие и усовершенствование методики вакуумной аспирационной биопсии.

In Russia, more than 70,000 new cases of breast cancer are registered annually. Vacuum aspiration biopsy (VAB) is a minimally invasive method for diagnosing the genesis of focal breast pathology, which is also used for therapeutic purposes for the complete removal of benign neoplasms. High efficiency and favorable clinical outcomes have allowed VAB to gain wide popularity in clinical practice, due to which the method has been widely developed. However, like any surgical intervention, the VAB procedure may be accompanied by complications, the main share of which are hemorrhagic. Generalization and systematization of information on the development of the VAB technique, prevalence and risk factors of complications, as well as methods of their prevention and timely elimination. Scientific publications cited in this literature review were selected from the Pubmed database of medical and biological publications (National Center for Biotechnology Information (NCBI), USA), the Clinical Key database (Elsevier Corporation, the Netherlands), Web of Science Citation Indexing Database (Clarivate, USA), Google Scholar (CIF), and the scientific electronic library elibrary.ru (Russia). The information presented in the article can become a theoretical basis for future research aimed at increasing safety, further development and improvement of the VAB technique.

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The authors declare that there are no conflicts of interest present.