Localization of impalpable breast lesions—a surgical approach

Rovere, G. Querci della; Benson, John R.; Morgan, M.; Warren, Ruth; Patel, Ashraf

doi:10.1016/s0748-7983(96)92853-x

Cited by 34 publications

(19 citation statements)

References 12 publications

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“…The choice of the technique depends of lesion characteristics, its location, and the equipment availability [10,11]. The most frequently used approach is guidewire localization under mammographic or ultrasonographic guidance, being the gold standard during last decade [4] as a diagnostic and therapeutic technique. This method presents several drawbacks that include displacement or deviation of the wire, the possibility of re-intervention due to positive resection margins, patient discomfort, and aesthetic complications.…”

Section: Discussionmentioning

confidence: 99%

“…With the increase in the number and availability of breast screening programs, detection of breast nonpalpable lesions have increased [2,3]. Traditionally, surgical biopsy of this kind of lesions is carried out with wire localization (WL), being the gold standard during the last decade [4,5]. This technique is used as a diagnostic and therapeutic tool, although with some restrictions during its application.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Radioguided occult lesion localization (ROLL) versus wire‐guided lumpectomy for non‐palpable breast lesions: A randomized prospective evaluation

Medina‐Franco

Abarca‐Pérez

García-Álvarez

et al. 2008

Journal of Surgical Oncology

128

102

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Radioguided occult lesion localization (ROLL) versus wire‐guided lumpectomy for non‐palpable breast lesions: A randomized prospective evaluation

Medina‐Franco

Abarca‐Pérez

García-Álvarez

et al. 2008

Journal of Surgical Oncology

128

102

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“…The literature shows that the metallic wire has high levels of compromised surgical margins, ranging from 20 to 70% 1,4 . A review of the pathological reports provided by the laboratories showed appropriate surgical margins in almost 100% of the cases, with only one exception.…”

Section: Discussionmentioning

confidence: 99%

“…Although practiced universally for many years, this technique includes several drawbacks 3 . Literature studies 1,4 show that this method leads to high rates of positive surgical margins, ranging from 20 to 70%, requiring reoperations, with high levels of local recurrence, in cases of malignancy. This is an important factor, since the main objective of any given procedure to locate a lesion is to facilitate a complete surgical excision in a single event, discarding new interventions.…”

Section: Introductionmentioning

confidence: 99%

Use of 125iodine seeds (ROLLIS) for intra-operative localization of nonpalpable breast lesions: analysis of the implant of 338 seeds in 284 patients

A¹,

Franca²,

Oliveira³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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To analyze the feasibility, efficacy and results of the use of 125Iodine seeds for intra-operative localization of nonpalpable breast lesions. Method: Retrospective review of 284 patients, referred by various breast specialist surgeons, with radiologically detected but clinically nonpalpable microcalcifications or nodules, submitted to pre-operatory 125Iodine seed implant, between July 2012 and September 2016. A total of 338 seeds were implanted in ordinary radiologic departments, supported by ultrasonography or mammography exams, chosen according to the morphologic aspect of the lesion. Radioguided surgical procedure took place on the same day or few days after the implant of the seeds, with the help of a radiation detector called Gamaprobe, which directs the surgeons towards the radioactive seeds and to the lesion to be resected. Results: All implants were performed as outpatient procedures, with patients immediately returning to their daily activities. No complications such as pain, bleeding, infeccion and haematoma were recorded. Pathologists had no difficulty in preparing the surgical specimens for histopathologic analysis. Surgical safety margins were considered adequate in all pathologic reports, with no need for re-operations. The healing process was not jeopardized by radiation, and the surgeons were pleased with the improvement on intraoperative lesions localizations and shortening on operatory time. Cosmetic results were well accepted by the patients. Conclusion: The 125Iodine seed implant is an effective alternative method for intraoperative localization of radiologically detectable and clinically nonpalpable breast lesions.

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“…PEML'nın lokalizasyonu için birkaç yöntem tanımlanmıştır. Bunların arasında altın standart MG veya USG eşliğinde tel ile işaretleme yöntemidir (31)(32)(33)(34). Fakat tel ile işaretlemenin; telin yer değiştirmesi, kopması, hastaya ve personele zarar vermesi, pnömotoraks, malign vakalarda yetersiz cerrahi sınır, hasta için rahatsız edici olması gibi bazı dezavantajları vardır.…”

Section: Tartışma Ve Sonuçlarunclassified

Total Excision Accompanied by Roll in Non-Palpable Breast Lesion

Sarı¹,

Hot²,

Bender³

et al. 2013

J Breasth Health

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Objective: The development and extensive use of methods of breast imaging has increased the diagnosis of non-palpable breast lesions (NPBL). Although several methods have been applied in the localization of NPBL throughout the world, the technique of wire-guided localization is used as a standard. The aim of this study is to present the results of ROLL (Radioguided occult lesion localization), which is a new technique in our clinic for localization of NPBL. Materials and Methods:We included 44 patients who had NPBL in the study. The lesions were localized preoperatively with TC-99m labelled human serum albumin. A gamma probe was used to determine the place of lesion and to guide the excisional biopsy. We assessed the duration of the localization, the excisional biopsy and hospital stay, the volume of the excised piece, the surgical margin in the malign facts, complication, cost calculation, and the comfort of the procedure from the points of view of the surgeon, radiologist and patient for every case. Anahtar sözcükler: Radyo-nüklid rehberliğinde okült lezyon lokalizasyonu, palpe edilemeyen meme lezyonları, meme kanseri

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Localization of impalpable breast lesions—a surgical approach

Cited by 34 publications

References 12 publications

Radioguided occult lesion localization (ROLL) versus wire‐guided lumpectomy for non‐palpable breast lesions: A randomized prospective evaluation

Radioguided occult lesion localization (ROLL) versus wire‐guided lumpectomy for non‐palpable breast lesions: A randomized prospective evaluation

Use of 125iodine seeds (ROLLIS) for intra-operative localization of nonpalpable breast lesions: analysis of the implant of 338 seeds in 284 patients

Total Excision Accompanied by Roll in Non-Palpable Breast Lesion

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