Transgression of localizing wire into the pleural cavity prior to mammography

Bristol, James; Pa, Jones

doi:10.1259/0007-1285-54-638-139

Cited by 67 publications

(26 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

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.

View full text Add to dashboard Cite

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.

show abstract

Section: Results Results Results Resultsmentioning

confidence: 99%

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.

View full text Add to dashboard Cite

show abstract

“…It should be noted that the histological evaluation of lesions and margins is a routine procedure performed by a pathologist during the surgery in order to ensure the quality of the surgical specimen. Testimonies from surgeons prove seeds were within or close to the lesions in all cases, which is not the case with the metallic wire, which may be displaced and even migrate to further areas, hampering the complete removal of the target-lesion [5][6][7][8] . The difficulty in identifying the tip of the wire by palpation during surgery is widely known, which may compromise the safety of the surgical margins and the complete excision of the lesion.…”

Section: Discussionmentioning

confidence: 99%

“…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. Another drawback of the metallic wire is its displacement in the preoperative period or during surgery, with reports of its migration into the pleural cavity 5 , the miocardium 6 , pulmonary hilum 7 , abdominal cavity 8 , in addition to cases of bending and rupture both before and during surgery 9,10 . Surgeons complain that the tip of the metallic wire is difficult to be felt in palpation during the operative event, impairing the complete excision of the lesion with adequate safety margins 11 .…”

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.)

View full text Add to dashboard Cite

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.

show abstract

“…The second most common finding was carcinoma, discovered in 24 (16%) of the patients, followed by fibro¬ adenoma in 20 patients (13%), and other entities such as lymph nodes or lipomas in eight patients (5%). Of these carcinomas, 18 (75%) were invasive ductal types and one of these was tubular. Six (25%) were noninvasive: five were noninvasive ductal, and one was a noninvasive lobular carcinoma.…”

Section: Pathologic Findingmentioning

confidence: 99%