nach oben

Wiener klinische Wochenschrift

Erschienen in:

01.02.2014 | original article

The role of intraoperative ultrasound in breast-conserving surgery of nonpalpable breast cancer

verfasst von: Nina Čas Sikošek, MD, Andraž Dovnik, MD, Darja Arko, MD, PhD, Iztok Takač, MD, PhD

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 3-4/2014

Einloggen, um Zugang zu erhalten

Summary

Objective

This retrospective study was undertaken to evaluate the role of intraoperative ultrasound in breast-conserving surgery of nonpalpable breast cancer.

Methods

The data about 125 patients with preoperatively diagnosed breast cancer operated with the help of intraoperative ultrasound between January 2009 and December 2012 were retrospectively analyzed.

Results

The mean volume of the excised tissue was 42.1 cm³ (± 22.0 cm³). Immediate re-excision after ultrasound examination of the excised tissue was performed in 27 patients (21.6 %). Secondary procedure owing to positive histological margins was necessary only in four patients (3.2 %).

Conclusions

Intraoperative ultrasound offers some advantages in comparison with other localization techniques for nonpalpable breast cancer surgery.

Vorheriger Artikel Österreichische 3e-Empfehlungen zu Diagnose und Management von Gicht 2013

Nächster Artikel Effects of migration background on weight status and motor performance of preschool children

Harlow SP, Krag DN, Ames SE, Weaver DL. Intraoperative ultrasound localization to guide surgical excision of nonpalpable breast carcinoma. J Am Coll Surg. 1999;189:241–6.PubMedCrossRef

Tafra L, Essner R, Brenner RJ, Giuliano AE. Nonpalpable versus palpable invasive breast tumors treated with breast-conserving surgical management. Am Surg. 1996;62:395–9.PubMed

NCCN Clinical Practice Guidelines for Breast Cancer Version I. National Comprehensive Cancer Network website. 2013. http://www.nccn.org/professionals/physician_gls/pdf/breast.pdf. Accessed: 6 Mar 2013.

Mannell A. Breast-conserving therapy in breast cancer patients—a 12-year experience. S Afr J Surg. 2005;43:28–30.PubMed

Fortunato L, Penteriani R, Farina M, Vitelli CE, Piro FR. Intraoperative ultrasound is an effective and preferable technique to localize non-palpable breast tumors. Eur J Surg Oncol. 2008;34:1289–92.PubMedCrossRef

Bouton ME, Wilhelmson KL, Komenaka IK. Intraoperative ultrasound can facilitate the wire guided breast procedure for mammographic abnormalities. Am Surg. 2011;77:640–6.PubMed

Abrahamson PE, Dunlap LA, Amamoo MA, Schell MJ, Braeuning MP, Pisano ED. Factors predicting successful needle-localized breast biopsy. Acad Radiol. 2003;10:601–6.PubMedCrossRef

De Cicco C, Pizzamiglio, Trifirò G, et al. Radioguided occult lesion localisation (ROLL) and surgical biopsy in breast cancer. Technical aspects. Q J Nucl Med. 2002;46:145–51.PubMed

Medina-Franco H, Abarca-Pérez L, García-Alvarez MN, Ulloa-Gómez JL, Romero-Trejo C, Sepúlveda-Méndez J. Radioguided occult lesion localization (ROLL) versus wire-guided lumpectomy for non-palpable breast lesions: a randomized prospective evaluation. J Surg Oncol. 2008;97:108–11.PubMedCrossRef

10.

Pilkington Woll JP, Cortés Romera M, García Vicente AM, et al. Impact of radioguided occult lesion localization on the correct excision of malignant breast lesions: effect of histology and tumor size. Ann Nucl Med. 2011;25:197–203.

11.

Dogan BE, Whitman GJ. Intraoperative breast ultrasound. Semin Roentgenol. 2011;46:280–4.PubMedCrossRef

12.

Barentsz MW, van Dalen T, Gobardhan PD, et al. Intraoperative ultrasound guidance for excision of non-palpable invasive breast cancer: a hospital-based series and an overview of the literature. Breast Cancer Res Treat. 2012;135:209–19.PubMedCrossRef

13.

Yu CC, Chiang KC, Kuo WL, Shen SC, Lo YF, Chen SC. Low re-excision rate for positive margins in patients treated with ultrasound-guided breast-conserving surgery. [published online ahead of print January 17, 2013]. Breast. doi:10.1016/j.breast.2012.12.019.

14.

Krekel NM, Zonderhuis BM, Stockmann HB, et al. A comparison of three methods for nonpalpable breast cancer excision. Eur J Surg Oncol. 2011;37:109–15.PubMedCrossRef

15.

Haid A, Knauer M, Dunzinger S, et al. Intra-operative sonography: a valuable aid during breast-conserving surgery for occult breast cancer. Ann Surg Oncol. 2007;14:3090–101.PubMedCrossRef

16.

Park CC, Mitsumori M, Nixon A, et al. Outcome at 8 years after breast-conserving surgery and radiation therapy for invasive breast cancer: influence of margin status and systemic therapy on local recurrence. J Clin Oncol. 2000;18:1668–75.PubMed

17.

Corsetti V, Ferrari A, Ghirardi M, et al. Role of ultrasonography in detecting mammographically occult breast carcinoma in women with dense breasts. Radiol Med. 2006;111:440–8.PubMedCrossRef

18.

Shin HC, Han W, Moon HG, et al. Nomogram for predicting positive resection margins after breast-conserving surgery. Breast Cancer Res Treat. 2012;13:1115–23.CrossRef

19.

Menes TS, Tartter PI, Bleiweiss I, Godbold JH, Estabrook A, Smith SR. The consequence of multiple re-excisions to obtain clear lumpectomy margins in breast cancer patients. Ann Surg Oncol. 2005;12:881–5.PubMedCrossRef

20.

Cochrane RA, Valasiadou P, Wilson AR, Al-Ghazal SK, Macmillan RD. Cosmesis and satisfaction after breast-conserving surgery correlates with the percentage of breast volume excised. Br J Surg. 2003;90:1505–9.PubMedCrossRef

21.

Rahusen FD, Bremers AJ, Fabry HF, van Amerongen AH, Boom RP, Meijer S. Ultrasound-guided lumpectomy of nonpalpable breast cancer versus wire-guided resection: a randomized clinical trial. Ann Surg Oncol. 2002;9:994–8.PubMedCrossRef

22.

Snider HC Jr, Morrison DG. Intraoperative ultrasound localization of nonpalpable breast lesions. Ann Surg Oncol. 1999;6:308–14.PubMedCrossRef

23.

Zgajnar J, Hocevar M, Frkovic-Grazio S, Hertl K, Schweiger E, Besic N. Radioguided occult lesion localization (ROLL) of the nonpalpable breast lesions. Neoplasma 2004;51:385–9.PubMed

24.

Besic N, Kramaric A, Podnar B, et al. Factors correlated to successful surgical treatment of 181 non-palpable invasive breast carcinomas. Breast. 2009;18:294–8.PubMedCrossRef

25.

Bennett IC, Greenslade J, Chiam H. Intraoperative ultrasound-guided excision of nonpalpable breast lesions. World J Surg. 2005;29:369–74.PubMedCrossRef

26.

Ngô C, Pollet AG, Laperrelle J, et al. Intraoperative ultrasound localization of nonpalpable breast cancers. Ann Surg Oncol. 2007;14:2485–9.PubMedCrossRef

27.

Ramos M, Díaz JC, Ramos T, et al. Ultrasound-guided excision combined with intraoperative assessment of gross macroscopic margins decreases the rate of reoperations for non-palpable invasive breast cancer [published online ahead of print October 27, 2012]. Breast. doi:10.1016/j.breast.2012.10.006.

28.

Fisher CS, Mushawah FA, Cyr AE, Gao F, Margenthaler JA. Ultrasound-guided lumpectomy for palpable breast cancers. Ann Surg Oncol. 2011;18:3198–203.PubMedCrossRef

29.

Moore MM, Whitney LA, Cerilli L, et al. Intraoperative ultrasound is associated with clear lumpectomy margins for palpable infiltrating ductal breast cancer. Ann Surg. 2001;233:761–8.PubMedCentralPubMedCrossRef

30.

Davis KM, Hsu CH, Bouton ME, Wilhelmson KL, Komenaka IK. Intraoperative ultrasound can decrease the re-excision lumpectomy rate in patients with palpable breast cancers. Am Surg. 2011;77:720–5.PubMed

31.

Olsha O, Shemesh D, Carmon M, et al. Resection margins in ultrasound-guided breast-conserving surgery. Ann Surg Oncol. 2011;18:447–52.PubMedCrossRef

32.

Krekel NM, Haloua MH, Lopes Cardozo AM, et al. Intraoperative ultrasound guidance for palpable breast cancer excision (COBALT trial): a multicentre, randomised controlled trial. Lancet Oncol. 2013;14:48–54.PubMedCrossRef

33.

Krekel NM, Zonderhuis BM, Schreurs HW, et al. Ultrasound-guided breast-sparing surgery to improve cosmetic outcomes and quality of life. A prospective multicentre randomised controlled clinical trial comparing ultrasound-guided surgery to traditional palpation-guided surgery (COBALT trial). BMC Surg. 2011;16:11–8.

Titel: The role of intraoperative ultrasound in breast-conserving surgery of nonpalpable breast cancer
verfasst von: Nina Čas Sikošek, MD
Andraž Dovnik, MD
Darja Arko, MD, PhD
Iztok Takač, MD, PhD
Publikationsdatum: 01.02.2014
Verlag: Springer Vienna
Erschienen in: Wiener klinische Wochenschrift / Ausgabe 3-4/2014
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI: https://doi.org/10.1007/s00508-013-0470-8

Springer Medizin Österreich

Summary

Objective

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3-4/2014

COPD: an underdiagnosed disease at hospital environment

Insulin resistance may contribute to vascular dysfunction in patients with chronic obstructive pulmonary disease

ÖGIM Flip

Effects of migration background on weight status and motor performance of preschool children

Veranstaltungen

Effects of immune modulation therapy in the first Croatian infant diagnosed with Pompe disease: a 3-year follow-up study