The Use of Carbon Suspension as an Adjunct to Wire Localisation of Impalpable Breast Lesions

Moss, Hilary; Barter, Susan; Nayagam, M; Lawrence, David A.; Pittam, M.

doi:10.1053/crad.2002.0994

Cited by 22 publications

(20 citation statements)

References 31 publications

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“…The adequate preoperative localization is of great importance, so the target lesion is successfully removed, with excision of smaller amount of normal breast tissue, following the trend of currently recommended conservative operations. Several methods have been proposed and different techniques, from the "x" marking with single and multiple needles 4,5,7,10 , metallic wire 5,16 , dye injection 1,[17][18][19] , coal suspension 1,3,4,6,11,20 and the use of radioisotopes 21,22 . The mostly used method throughout the world today is the needle / metallic wire location.…”

Section: Results Results Results Resultsmentioning

confidence: 99%

“…The annual mammographic screening in women over 40 years detects approximately 100 to 200 new cases of suspicious lesions, which are presented as non-palpable in every 20,000 mammograms. These lesions require histological study, one of the options being its preoperative location and marking 1,[5][6][7][8][9][10][11][12][13] . Despite the good performance of mammography in the identification of early-stage breast cancer, 10% to 30% of non-palpable lesions are malignant when biopsied 14 , and 15% to 25% are intraductal lesions 5 .…”

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confidence: 99%

“…Few reports in the literature evaluated the impairment of difficulty in interpreting histopathological specimens labeled with coal suspension 1,4,11,20 . In the present study we did not detect any difficulty to the interpretation for the final pathological diagnosis.…”

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confidence: 99%

“…There are few disadvantages of using carbon as a means of marking of non-palpable lesions reported to date. Among them there are scattered reports of cases with low grade "foreign body" reaction 20 , without significant adverse reactions, even after months and years of followup 1,4,6,11 . According to reports in the literature, the appearance of granulomatous reactions can occur when the resection of the marking path is not accomplished in six months 4,12,13 , time during which the coal is phagocytosed by macrophages, with little or no inflammation 29 .…”

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confidence: 99%

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Lesões impalpáveis da mama marcadas com suspensão de carvão: avaliação de aspectos anatomopatológicos, viabilidade de interpretação e resposta inflamatória

Cavalcanti¹,

Malafaia

Nassif

et al. 2012

Rev. Col. Bras. Cir.

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OBJETIVO: Analisar a eficácia da suspensão de carvão inerte na marcação de lesões impalpáveis mamárias e as alterações morfológicas associadas ao seu uso, além de determinar se há ou não prejuízo na interpretação destas lesões pelo patologista. MÉTODOS: Foram atendidos 135 casos de lesões impalpáveis mamárias, previamente marcadas com suspensão de carvão. As lâminas coradas pelo método de HE contendo pigmentos de carvão foram analisadas ao microscópio óptico, onde se realizou avaliação quantitativa e qualitativa da resposta inflamatória e determinação da presença ou não de prejuízo ao diagnóstico anatomopatológico. Os índices avaliados quantitativamente quanto à resposta inflamatória foram as contagens de linfócitos, células gigantes e neutrófilos, todos observados e quantificados em campos de grande aumento. Foi, ainda, avaliada a quantidade e distribuição de carvão presente nas lesões. RESULTADOS: Na avaliação quantitativa e qualitativa da resposta inflamatória observou-se, independente da quantidade de carvão, granulomas a "corpo estranho" em todas as amostras. Em relação à resposta inflamatória linfocitária 5,19% das amostras não apresentaram infiltração linfocítica, sendo que em 82,22% ela era de discreta intensidade e em 12,59% de moderada intensidade. Quanto à resposta inflamatória aguda, observou-se ausência total de exsudação neutrofílica em 42,96% dos espécimes, exsudação neutrofílica discreta em 42,22%, moderada em 11,11% e acentuada, sob forma de microabscessos, em 3,7% dos casos. Nesta série foram observados cinco nódulos de carvão, posicionados paralesionalmente, e que não geraram interferência na análise morfológica. CONCLUSÃO: Este método é marcador eficaz de lesões impalpáveis, de baixo custo, alta efetividade, sem prejuízo à análise histológica, além de ser de fácil execução; é confortável para a paciente e de grande auxílio ao cirurgião e patologista na localização destas lesões.

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Lesões impalpáveis da mama marcadas com suspensão de carvão: avaliação de aspectos anatomopatológicos, viabilidade de interpretação e resposta inflamatória

Cavalcanti¹,

Malafaia

Nassif

et al. 2012

Rev. Col. Bras. Cir.

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“…Pre-operative accurate localisation of the wire increases the confidence of the surgeon, aids operative planning, reduces surgical trauma and improves tissue conservation. 13 The technique is established in breast surgery and its adoption in orthopaedics should be encouraged, since it has the potential to reduce the risk of peri-operative complications and optimise the recovery of the patient.…”

Section: Discussionmentioning

confidence: 99%

The use of ultrasound-guided wire localisation in orthopaedics

Chettiar¹,

Sriskandan

Thiagaraj³

et al. 2009

The Journal of Bone and Joint Surgery. British volume

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The use of ultrasound-guided wire localisation of lesions is not well described in the orthopaedic literature. We describe a case of an impalpable schwannoma of the femoral nerve and another of sacroiliitis with an associated pelvic abscess. In both, surgical localisation was difficult. Peri-operative ultrasound-guided wire localisation was used to guide surgery and minimise tissue damage, thereby optimising the results and recovery of the patient.Ultrasound-guided needle localisation is used to facilitate the excision of breast lesions which are impalpable, particularly those that are not seen during mammography.1 The procedure is performed under local anaesthesia and provides real-time imaging of the lesion and guidance of the needle, resulting in fewer complications. It allows focused surgery to be performed which reduces the operating time and minimises trauma to surrounding tissues.

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Lower extremity peripheral nerve pathology: Utility of preoperative ultrasound-guided needle localization before operative intervention

et al. 2023

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The Use of Carbon Suspension as an Adjunct to Wire Localisation of Impalpable Breast Lesions

Cited by 22 publications

References 31 publications

Lesões impalpáveis da mama marcadas com suspensão de carvão: avaliação de aspectos anatomopatológicos, viabilidade de interpretação e resposta inflamatória

Lesões impalpáveis da mama marcadas com suspensão de carvão: avaliação de aspectos anatomopatológicos, viabilidade de interpretação e resposta inflamatória

The use of ultrasound-guided wire localisation in orthopaedics

Lower extremity peripheral nerve pathology: Utility of preoperative ultrasound-guided needle localization before operative intervention

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