Assessment of breast cancer size: Sonographic and pathologic correlation

Tresserra, F.; Feu, J.; Grases, Pedro; Navarro, Beatriz de Olaiz; Alegret, X; Fernández-Cid, A

doi:10.1002/(sici)1097-0096(199911/12)27:9<485::aid-jcu1>3.0.co;2-c

Cited by 52 publications

(27 citation statements)

References 19 publications

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“…57 Magnetic resonance imaging (MRI) has been to reported to more accurately diagnose the extent of an intraductal component than either mammogram or ultrasound. 58 MRI has been shown to accurately define the extent of disease in breast cancer, including invasive lobular tumors, 51,58 and has been used to guide ablative breast procedures.…”

Section: Discussionmentioning

confidence: 69%

Cryoablation of Early-Stage Breast Cancer: Work-in-Progress Report of a Multi-Institutional Trial

et al. 2004

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Background: With recent improvements in breast imaging, our ability to identify small breast tumors has markedly improved, prompting significant interest in the use of ablation without surgical excision to treat early-stage breast cancer. We conducted a multi-institutional pilot safety study of cryoablation in the treatment of primary breast carcinomas.Methods: Twenty-nine patients with ultrasound-visible primary invasive breast cancer Յ2.0 cm were enrolled. Twenty-seven (93%) successfully underwent ultrasound-guided cryoablation with a tabletop argon gas-based cryoablation system with a double freeze/thaw cycle. Standard surgical resection was performed 1 to 4 weeks after cryoablation. Patients were monitored for complications, and pathology data were used to assess efficacy.Results: Cryoablation was successfully performed in an office-based setting with only local anesthesia. There were no complications to the procedure or postprocedural pain requiring narcotic pain medications. Cryoablation successfully destroyed 100% of cancers Ͻ1.0 cm. For tumors between 1.0 and 1.5 cm, this success rate was achieved only in patients with invasive ductal carcinoma without a significant ductal carcinoma-in-situ (DCIS) component. For unselected tumors Ͼ1.5 cm, cryoablation was not reliable with this technique. Patients with noncalcified DCIS were the cause of most cryoablation failures.Conclusions: Cryoablation is a safe and well-tolerated office-based procedure for the ablation of early-stage breast cancer. At this time, cryoablation should be limited to patients with invasive ductal carcinoma Յ1.5 cm and with Ͻ25% DCIS in the core biopsy. A multicenter phase II clinical trial is planned.

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Section: Discussionmentioning

confidence: 69%

Cryoablation of Early-Stage Breast Cancer: Work-in-Progress Report of a Multi-Institutional Trial

et al. 2004

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“…With conventional methods (mammography and ultrasound) adequate staging of ILC is difficult [10,[32][33][34]. The sensitivity is limited and although most lobular carcinomas do eventually present as a mass, ILC is often much larger than anticipated and is often multifocal [10,35].…”

Section: Discussionmentioning

confidence: 99%

The impact of preoperative breast MRI on the re-excision rate in invasive lobular carcinoma of the breast

Mann

Loo

Wobbes

et al. 2009

Breast Cancer Res Treat

185

107

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“…It is very helpful in pre surgical assessment of tumor size of even 2mm. 7 It is the method of choice for differentiating solid from the cystic lesions, for further characterizing mammographic findings and better appreciating palpable breast lesions. Increasing confidence with the needle and increasing resolution of ultrasound machines have expanded the scope of ultrasound to guide diagnostic biopsies more accurately and measure tumors.…”

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confidence: 99%

Significance of Quadruple assessment of breast lump–A hospital based study

Ghartimagar

Ghosh

et al. 2014

J Pathol Nep

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Background: Approximately 10% of breast masses are breast cancer. It is important for women with a breast lump to receive appropriate evaluation. Mammography has been the "gold standard" in breast cancer detection for >40 years. Ultrasonography is non-invasive easily available, cheaper and accurate tool while Fine needle aspiration cytology has a high diagnostic accuracy rate in hands of experienced cytopathologist. Materials and methods:This was a retrospective and prospective study of 173 women attending radiology department in Manipal Teaching Hospital, Pokhara for mammography during a period of 18 months from January 2011 to June 2012.The age ranged from 20yrs to 75yrs. BIRADS score was given for both mammography and sonomammography. All malignant and suspicious cases had undergone fine needle aspiration cytology. Cytology reports were correlated with imaging study. Results:The most common age group for the breast lump was 40-49 years showing 65(37.57%) cases. Most lumps were seen on the left side 54.3% (94/ 173) cases and were seenin upper outer quadrant of the breast (74 cases). 11 cases each were given the BIRADS score of 4 in both mammography and sonomammography. Sensitivity and specificity of mammography and sonomammography were compared to cytologyreports. The sensitivity for mammogram was 73.7% while specificity was 96.3%. The sensitivity and specificity for sonomammogram was 78.9% and 95% respectively. Conclusion:Quadruple assessment i.e. clinical assessment, mammography, sonomammography and cytologicalstudy are the new "gold standard" in the investigation of breast disease.

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Assessment of breast cancer size: Sonographic and pathologic correlation

Cited by 52 publications

References 19 publications

Cryoablation of Early-Stage Breast Cancer: Work-in-Progress Report of a Multi-Institutional Trial

Cryoablation of Early-Stage Breast Cancer: Work-in-Progress Report of a Multi-Institutional Trial

The impact of preoperative breast MRI on the re-excision rate in invasive lobular carcinoma of the breast

Significance of Quadruple assessment of breast lump–A hospital based study

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