Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implications

BackgroundBreast cysts are more common in premenopausal women (61.5%), particularly between ages 35–50. Microwave ablation (MWA) has shown advantages in treating symptomatic cysts.ObjectiveTo evaluate early outcomes of ultrasound-guided MWA for breast cysts at the Breast Unit of Cho Ray Hospital.Met...

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Main Authors: Khanh Quang Huynh, Phat Thanh Nguyen, Khoi Van Nguyen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Surgery
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Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2025.1544662/full
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author Khanh Quang Huynh
Phat Thanh Nguyen
Khoi Van Nguyen
author_facet Khanh Quang Huynh
Phat Thanh Nguyen
Khoi Van Nguyen
author_sort Khanh Quang Huynh
collection DOAJ
description BackgroundBreast cysts are more common in premenopausal women (61.5%), particularly between ages 35–50. Microwave ablation (MWA) has shown advantages in treating symptomatic cysts.ObjectiveTo evaluate early outcomes of ultrasound-guided MWA for breast cysts at the Breast Unit of Cho Ray Hospital.MethodsA retrospective review was conducted on patients who underwent MWA from August 2018 to March 2020.ResultsFifty-eight patients (mean age: 45.3) were included. Simple, complicated, and complex cysts accounted for 80.0%, 16.9%, and 3.1%, respectively. The mean cyst diameter was 23.86 mm. A size reduction exceeding 90% was observed in the ablated cyst at the 6 months follow- up, with the exception of 1 cyst with mural calcification that showed no response.ConclusionMWA is a promising and safe treatment for symptomatic breast cysts, offering high success and low complication rates. Cyst mural calcification may affect treatment response and should be carefully assessed.
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spelling doaj-art-bce3b72a3fc1472cbc1296e06b0ee8d52025-08-22T05:26:58ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-08-011210.3389/fsurg.2025.15446621544662Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implicationsKhanh Quang Huynh0Phat Thanh Nguyen1Khoi Van Nguyen2Breast Unit, Cho Ray Hospital, Ho Chi Minh City, VietnamDepartment of Thoracic and Cardiovascular Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VietnamBreast Unit, Cho Ray Hospital, Ho Chi Minh City, VietnamBackgroundBreast cysts are more common in premenopausal women (61.5%), particularly between ages 35–50. Microwave ablation (MWA) has shown advantages in treating symptomatic cysts.ObjectiveTo evaluate early outcomes of ultrasound-guided MWA for breast cysts at the Breast Unit of Cho Ray Hospital.MethodsA retrospective review was conducted on patients who underwent MWA from August 2018 to March 2020.ResultsFifty-eight patients (mean age: 45.3) were included. Simple, complicated, and complex cysts accounted for 80.0%, 16.9%, and 3.1%, respectively. The mean cyst diameter was 23.86 mm. A size reduction exceeding 90% was observed in the ablated cyst at the 6 months follow- up, with the exception of 1 cyst with mural calcification that showed no response.ConclusionMWA is a promising and safe treatment for symptomatic breast cysts, offering high success and low complication rates. Cyst mural calcification may affect treatment response and should be carefully assessed.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1544662/fullbreast cystmicrowave ablationMWAminimally invasive therapyultrasound guidance
spellingShingle Khanh Quang Huynh
Phat Thanh Nguyen
Khoi Van Nguyen
Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implications
Frontiers in Surgery
breast cyst
microwave ablation
MWA
minimally invasive therapy
ultrasound guidance
title Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implications
title_full Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implications
title_fullStr Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implications
title_full_unstemmed Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implications
title_short Ultrasound- guided microwave ablation for symptomatic breast cysts: early outcomes and clinical implications
title_sort ultrasound guided microwave ablation for symptomatic breast cysts early outcomes and clinical implications
topic breast cyst
microwave ablation
MWA
minimally invasive therapy
ultrasound guidance
url https://www.frontiersin.org/articles/10.3389/fsurg.2025.1544662/full
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AT phatthanhnguyen ultrasoundguidedmicrowaveablationforsymptomaticbreastcystsearlyoutcomesandclinicalimplications
AT khoivannguyen ultrasoundguidedmicrowaveablationforsymptomaticbreastcystsearlyoutcomesandclinicalimplications