Radioguided Occult Lesion Localisation Versus Wire-Guided Lumpectomy in the Treatment of Non-Palpable Breast Lesions

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...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Takács Tibor
Paszt Attila
Simonka Zsolt
Ábrahám Szabolcs
Borda Bernadett
Ottlakán Aurél
Ormándi Katalin
Lázár Máté
Vörös András
Kahán Zsuzsanna
Lázár György ifj
Dokumentumtípus: Cikk
Megjelent: 2013
Sorozat:PATHOLOGY AND ONCOLOGY RESEARCH 19 No. 2
Tárgyszavak:
doi:10.1007/s12253-012-9578-9

mtmt:2103005
Online Access:http://publicatio.bibl.u-szeged.hu/25937
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245 1 0 |a Radioguided Occult Lesion Localisation Versus Wire-Guided Lumpectomy in the Treatment of Non-Palpable Breast Lesions  |h [elektronikus dokumentum] /  |c  Takács Tibor 
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490 0 |a PATHOLOGY AND ONCOLOGY RESEARCH  |v 19 No. 2 
520 3 |a 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 = 69) or radioguided occult lesion localisation (ROLL, n = 321) 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, p = 0.05) and with radiographic guidance (21.8 ± 3.1 min vs. 41.6 ± 3.75 min, p = 0.021) 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. © 2012 Arányi Lajos Foundation. 
650 4 |a Klinikai orvostan 
700 0 1 |a Paszt Attila  |e aut 
700 0 1 |a Simonka Zsolt  |e aut 
700 0 1 |a Ábrahám Szabolcs  |e aut 
700 0 1 |a Borda Bernadett  |e aut 
700 0 1 |a Ottlakán Aurél  |e aut 
700 0 1 |a Ormándi Katalin  |e aut 
700 0 1 |a Lázár Máté  |e aut 
700 0 1 |a Vörös András  |e aut 
700 0 1 |a Kahán Zsuzsanna  |e aut 
700 0 1 |a Lázár György ifj  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/25937/1/2103005.pdf  |z Dokumentum-elérés