Comparing Vacuum-Assisted Percutaneous Excision to Open Surgical Excision for Borderline or High-Risk Breast Lesions
NCT03868475 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2026-03-09
Summary
This randomized controlled trial compares vacuum-assisted percutaneous excision to open standard surgical excision in women who have high-risk or borderline, non-malignant breast lesions with respect to efficacy, safety, cosmesis and patient satisfaction.
Conditions
- Breast Fibroadenoma
- Atypical Ductal Hyperplasia
- Atypical Lobular Hyperplasia
- Lobular Carcinoma in Situ
- Flat Epithelial Atypia
- Phyllodes; Fibroadenoma
- Phyllodes Breast Tumor
- Radial Scar
- Breast Papilloma
- Complex Sclerosing Papillary Lesion of the Breast
Interventions
- PROCEDURE
-
Vacuum-assisted percutaneous excision
The intervention group will undergo the vacuum assisted percutaneous excision (VAPE). All VAPE procedures will be performed on a digital supine table using the ATEC© Breast Biopsy System hand piece (Hologic) with a 9-gauge needle and a 10 or 20 mm aperture providing 6-mmHg of suction strength to completely excise the breast lesion.
- PROCEDURE
-
Open surgical excision
The control group will undergo standard open surgical excision of the breast lesion. This will be done in the operating room using preoperative image-guided localization with radioactive seed (I-125) or in the procedure room of the Breast Care Centre if appropriate (i.e. lesion is palpable and localization is not required).
Sponsors & Collaborators
-
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
lead OTHER
Principal Investigators
-
Muriel Brackstone, PhD, MD · London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-31
- Primary Completion
- 2026-01-31
- Completion
- 2028-01-01
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