Radioguided occult lesions localisation (ROLL) of the nonpalpable breast lesions using reduced dose (1,8 MBq) of radioactivity

Žgajnar, Janez; Bešič, Nikola; Hočevar, Marko; Vidergar, Barbara; Hertl, Kristijana; Frković‐Grazio, Snjez̆ana

doi:10.1016/s0960-9776(03)80105-4

Cited by 23 publications

(48 citation statements)

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“…Yapılan çalışmaların çoğunda radyonüklid madde ile işaretlemenin güvenilir ve etkili olduğu kanıtlanmıştır (17,26,28,29,(35)(36)(37)(38)(39). Radyonüklid madde ile işaretlemede başarı oranları literatürde %92 ile %100 arasında değişmektedir (17,25,36,39,40).…”

Section: Tartışma Ve Sonuçlarunclassified

“…Piyes hacimleri karşılaştırıldığında ROLL grubunda çıkarılan doku miktarının daha az olduğunu ortaya koyan çalışmalar vardır (28,37,39). Luini ve ark.…”

Section: Tartışma Ve Sonuçlarunclassified

“…PEML olan 647 hastayı içeren bu çalışmada ROLL ile lezyonların %99,1'inin tamamen çıkarılmış olduğu ve spesimen grafisinde lezyonların %99,5 oranında çıkarılan piyesin merkezinde bulunduğunu bildirmişlerdir. ROLL ve telle işaretleme grubunun yeterli cerrahi sınır açısından karşılaştırıldığı iki çalışmada sonuçların ROLL grubunda daha iyi olduğu gösterilmiştir (37,39).…”

Section: Tartışma Ve Sonuçlarunclassified

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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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Section: Tartışma Ve Sonuçlarunclassified

“…Piyes hacimleri karşılaştırıldığında ROLL grubunda çıkarılan doku miktarının daha az olduğunu ortaya koyan çalışmalar vardır (28,37,39). Luini ve ark.…”

Section: Tartışma Ve Sonuçlarunclassified

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Total Excision Accompanied by Roll in Non-Palpable Breast Lesion

Sarı¹,

Hot²,

Bender³

et al. 2013

J Breasth Health

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“…Literatürde her iki tekniğin karşılaştı-rılmasını içeren 5 klinik çalışma ile 2 randominize çalışma bulduk. 5,11,[13][14][15][16][17] Bu çalışmalardan birisi T1, T2N0 meme kanseri tanısı konan olgularda13, diğer çalışmalar şüpheli ve malign olgularda uygulanmıştır. 5,11,[14][15][16][17] Bu çalışmalarda farklı parametrelere bakılsa da tüm çalışmalarda bakılan ortak parametre çıkarılan hacim miktarının karşılaştırılması ve eksizyon sonrası kozmetik sonucun değerlendi-rilmesidir.…”

Section: -8unclassified

The comparison of excisionel biopsies between wire-guided and radioguided occult lesion localization in nonpalpable breast lesions

Karabulut

2011

J Clin Exp Invest

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Palpe edilemeyen meme lezyonlarında tel rehberliğinde ve radyonüklid okült lezyon lokalizasyonu rehberliğinde yapılan eksizyonel biyopsilerin karşılaştırılması Bu çalışmada palpe edilemeyen meme lezyonlarında tel rehberliğinde eksizyonel biyopsi ile ROLL ile eksizyonel biyopsiler karşılaştırıldı. Gereç ve yöntem:Çalışma 30'ar kişilik iki hasta grubu üzerinde yapıldı. Her iki grup arasında işaretleme süresi, eksizyonel biyopsi süresi, çıkarılan piyesin hacmi, malign olgularda cerrahi sınır, ameliyat sonrası ağrı, yatış süresi, normal aktivasyona dönüş süresi, komplikasyon, maliyet hesaplaması, cerrah-radyolog-hasta yönünden her iki prosedürün konforu değerlendirilmiştir.Bulgular: Her iki teknikte de lezyonların tamamı çıkarıl-mıştır. Đki grup arasında çıkarılan piyes hacmi, ameliyat süresi, ameliyat sonrası ağrı, yatış ve aktivasyon süreleri açısından istatistiksel olarak anlamlı fark bulunmamıştır (p>0.05). Đşlemin hasta-radyolog ve cerrah yönünden konforunun araştırılmasında hasta ve radyolog yönünden istatistiksel olarak anlamlı fark bulunmazken (p>0.05), cerrah açısından ROLL tekniği daha rahat bulunmuştur. Sonuç: ROLL, tel ile işaretlemenin alternatifidir. Klin Deney Ar Derg 2011; 2(1):55 -61Anahtar kelimeler: Meme lezyonları, palpe edilemeyen, ROLL, lokalizayon, tel rehberliği ABSTRACTObjectives: The development of breast imaging methods increased frequent of nonpalpable breast lesions. Consequently, diagnosis of early breast cancer increased and breast cancer mortality decreased. Several techniques were described for excisional biopsy of nonpalpable breast lesions. Wire guided localization is currently the most commonly used localization method for nonpalpable breast lesions. ROLL is a possible alternative to the commonly used wire guided localization of non palpable breast lesions and ROLL is widespread more and more throughout the world. In this study, wire-guided localization and ROLL were compared for excisional biopsy in nonpalpable breast lesions. Materials and methods:The study was performed on two groups, each containing 30 subjects. We assessed radiographical localization time, operative time, volume of the excised specimen, clearance margins, postoperative pain, and hospital stay, cycle time to normal activation, complications, cost-effectiveness, and comfort assessment of each method in terms of surgeon-patientradiologist between two groups. Results:In both of techniques complete lesions were excised. Statistically there were no significant differences between two groups in terms of specimen excised volume, operation time, postoperative pain, hospital stay, activate stays (p>0.05). Conclusion:ROLL is a reliable alternative to the wire guided localization. J Clin Exp Invest 2011; 2(1): 55-61

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“…Few studies suggested that with the GWL method the positive resection margin rate is relatively high, resulting in increased risk of local recurrence and higher reoperation rates [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Change of attitude in the surgical treatment of early breast cancer

Takács

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The purpose of this study was to compare the two methods-guidewire localisation and the radioguided occult lesion localisation-used in the localisation and surgical removal of non-palpable breast tumours. This retrospective study enrolled patients diagnosed with nonpalpable malignant breast tumours. In this study either guidewire localisation (GWL, n 069) or radioguided occult lesion localisation (ROLL, n0321) was used for the detection and removal of the tumours. The two methods were compared with regards to preoperative localisation time, operating time, removed specimen volume, the pathological tumour size, the presence of positive surgical margins and postoperative complications. Furthermore, we have also investigated other factors that could have an impact on the frequency of positive resection margins. The localisation time was significantly shorter in the ROLL group, both with ultrasound guidance (5.7±1.44 min vs. 21.6±2.37 min, p00.05) and with radiographic guidance (21.8±3.1 min vs. 41.6±3.75 min, p00.021) as well. No significant difference was observed between the two methods in terms of operating time, removed specimen volume and pathological tumour size, or the presence of positive resection margins, or the occurrence of postoperative wound infections. The size of the tumour (ROLL, GWL grps), the presence of a multifocal tumour (ROLL grp), the presence of an extensive in situ breast carcinoma around the invasive cancer (ROLL, GWL grps) and the volume of the removed breast specimen (GWL grp) significantly increased the frequency of positive resection margins. We recommend the use of the ROLL method for the removal of nonpalpable breast tumours as it has a much shorter localisation time, and it is a simpler surgical technique as well.

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Radioguided occult lesions localisation (ROLL) of the nonpalpable breast lesions using reduced dose (1,8 MBq) of radioactivity

Cited by 23 publications

References 0 publications

Total Excision Accompanied by Roll in Non-Palpable Breast Lesion

Total Excision Accompanied by Roll in Non-Palpable Breast Lesion

The comparison of excisionel biopsies between wire-guided and radioguided occult lesion localization in nonpalpable breast lesions

Change of attitude in the surgical treatment of early breast cancer

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