The clinical management of benign breast nodules (mainly hyperplasia and adenoma) is more common in clinical practice, accounting for about 60%-75% of breast diseases. They mainly affect middle-aged and young women, but can affect a wide range of ages, from adolescent girls to older women over 60 years old. The former is affected by estrogen levels and occurs in young and middle-aged women, while the latter occurs in middle-aged and older women. Although lobular hyperplasia is also a relatively common benign nodule, it is not usually included in surgical treatment. In the pre-imaging era, when medical imaging was not yet developed and mature, palpation was the main method of examination and diagnosis of breast nodules, and the disadvantages of this method, such as cursory, individual subjectivity, and inconsistency in appearance, were obvious. Since the era of modern medical imaging, X-ray mammography has been widely used in the clinical diagnosis of breast diseases, and has a high diagnostic value for dense and calcified nodules. However, for Chinese women’s breast, the examination and diagnostic efficacy of imported mammography equipment is often less than ideal. Currently, research on MRI for the diagnosis of breast disease is also progressing. However, in comparison, high-frequency ultrasound combined with color Doppler ultrasound has become the first-line imaging method for breast disease examination and diagnosis, thanks to the technical advantages of high-frequency ultrasound such as excellent spatial and temporal resolution, high sensitivity to microcalcifications, real-time display of blood flow information by color Doppler ultrasound, and real-time assessment of lesion texture and softness by elastic ultrasound. High-frequency ultrasound has even been applied in breast tumor surgery for real-time localization of tumors, guiding surgical instruments, and checking whether multiple tumors are missed and untreated. To date, the main treatment for benign breast nodules remains the removal of nodules through surgical methods. Due to women’s special requirements for aesthetic shape, the focus of surgical treatment is to use techniques such as small incisions and concealed incisions to protect the shape of the breast without deformation and the breast skin without leaving obvious scars on the basis of ensuring complete and clean removal of the tumor. However, it is difficult to avoid the problems of breast deformation and breast skin scars after surgery for larger nodules, idiopathic nodules and scarred body. In the past 10 years, vacuum-suction-assisted minimally invasive percutaneous rotational excision (minimally invasive rotational excision) guided by ultrasound, mammography, MRI, etc. has gradually become a new treatment method for benign breast nodules in clinical practice, with safe and reliable efficacy, minimal trauma, and excellent cosmetic effects. The origin of this technique can be traced back to the percutaneous puncture biopsy of breast nodules. Tissue biopsy is a frequently used diagnostic method in various clinical disciplines, and for breast nodules it can be divided into incisional biopsy and percutaneous puncture biopsy, although incisional biopsy can obtain richer tissue material of the lesion, it is obviously contrary to the requirements of breast aesthetics. Therefore, puncture biopsy has a more important application. However, the commonly used percutaneous puncture biopsy needles are often ineffective in obtaining specimens due to the highly dense nature of the breast tissue and the regressive nature of the nodes, making it difficult to meet the demands of pathological examination. The Mammotome, Vacora, and Encor vacuum-assisted minimally invasive percutaneous rotary excision devices use a breakthrough needle design to overcome the denseness of breast tissue and deliver the needle to the location of the breast nodule, using negative pressure to firmly attract the nodule so that it cannot give way, and using mechanical drive to cut down the attracted nodule in a rotational propulsion mode with minimal resistance. This improves the efficiency and quality of the nodule extraction. Based on the pathologic characteristics of benign nodules, the concept and technique of minimally invasive percutaneous rotary excision under vacuum suction was developed for the treatment of benign breast nodules. The most important feature of minimally invasive spinotomy for benign breast nodules is that the puncture is performed at a hidden site, with a skin puncture point of only about 2-3 mm, which is much smaller than the 3 cm of open surgical procedures. Prior to treatment, the breast is thoroughly examined using ultrasound to mark the location of the nodes, record the number of nodes, and understand the vascularity of the nodes. After careful design, the smallest number of puncture points can be combined to treat the largest number of nodules. The treatment operation is performed through a tunnel needle, leaving no trace on the breast surface. The treatment procedure is completely guided and monitored by ultrasound in real time, which is very accurate and safe and can avoid excessive removal of normal breast tissue and prevent deformation of the breast after treatment. Ultrasound observation of the residual cavity after treatment allows us to understand whether there is a more obvious hematoma formation and facilitates the use of appropriate curative measures. The ultrasound department of Long March Hospital, where the author works, has focused on the development of interventional ultrasound technology, and cooperated with general surgery colleagues to carry out “clinical application research of real-time ultrasound-guided minimally invasive rotational excision of benign breast nodules” in 2001, which is one of the earlier units in China to carry out this new technology, and once performed the first international case of minimally invasive rotational excision of breast adenoma after breast implant augmentation, and pioneered the design of The liquid isolation belt method effectively protected the extremely precious breast prosthesis and removed the adenoma smoothly. So far, he has gone through 3 generations of technical updates and accumulated rich experience in the treatment of benign breast nodules by rotary incision, and has guided and helped nearly 30 hospitals in China to carry out this technology, and won the 2nd prize of the Army Medical Achievement in 2006, and hosted an international conference in 2008, inviting relevant experts from the United States and Japan to share their experiences. Since then, we have also taken the lead in establishing a combination of thermal ablation and minimally invasive rotary incision for latent malignant lesions in benign breast nodules, which has added an insurance to this minimally invasive treatment method for female patients. The nodules that are multiple, scattered, small in size, deep in location, and involved in bilateral glands at the same time are especially suitable for minimally invasive rotary excision treatment. Surgical excision of nodules in these cases is likely to increase surgical trauma and skin scarring as well as deformation of the breast. In the past, the author was not a big advocate of rotational excision for larger nodules (nodules >3 cm in maximum diameter), mainly because the time consuming nature of rotational excision for large nodules, the increase in internal breast invasion, the increased chance of residual nodule tissue, and the increased chance of bleeding and skin bruising make rotational excision less superior and less thorough. However, since the availability of combined thermal ablation treatment, these deficiencies have been better compensated for and, as a result, large nodules are now incorporated into routine treatment. Subcutaneous lipomas that grow in the breast area can also be treated entirely with rotational excision to avoid skin scars on the breast. For breast cysts, minimally invasive spinotomy treatment is not recommended unless there is a viscous sloughed off secretion in the cystic cavity. IV. Circumstances not suitable for spinotomy treatment 1. Combined coagulation dysfunction, hypertension, diabetes: Those with poor heart, lung, liver and kidney function, coagulation dysfunction (Note: Individuals who have been taking blood-activating drugs such as aspirin, Poliovirus and Salvia for a long time usually have normal coagulation function test results and need special attention), hypertension and diabetes that are not effectively controlled, etc. 2. Breast during lactation: (1) there is a risk of being mistaken for nodules due to dilated ducts and glandular hyperplasia; (2) breast ducts are injured, causing bloody milk, milk leakage, or even induced milk infection. 3. Ultrasound, mammography, MRI, etc. have been clearly diagnosed as malignant masses Above: Minimally invasive spinotomy under ultrasound-guided monitoring, safe and reliable