Value of intra-operative ultrasound in localization of palpable or non-palpable breast tumors during breast conserving surgery
Autor: | Mohammed I. Yousef, Gamal Saleh, Medhat Refaat, Shorouk Abdelshafy |
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Rok vydání: | 2018 |
Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty business.industry lcsh:R895-920 medicine.medical_treatment Ultrasound Group ii Cancer medicine.disease 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Breast-conserving surgery medicine Intra operative ultrasound Radiology Nuclear Medicine and imaging Non palpable Radiology business Pathological Mastectomy |
Zdroj: | The Egyptian Journal of Radiology and Nuclear Medicine, Vol 49, Iss 4, Pp 1169-1174 (2018) |
ISSN: | 0378-603X |
DOI: | 10.1016/j.ejrnm.2018.07.020 |
Popis: | Purpose: Our study was designed to assess the role of intra-operative ultrasound (IOUS) as a method of localization of palpable or non-palpable breast tumors during breast conserving surgery (BCS) and ensuring adequate margins by comparing pathological results of these lesions to be sure if the IOUS localization is effective as a localization tool or not. We included both palpable and non-palpable to add a great effect to the BCS to ensure adequate margins that are not accurately palpated by the surgeon. Introduction: Breast conserving surgery (BCS) is an alternative to mastectomy in treatment of cancer breast. The matter of tumor localization is a problematic issue with the wire localization being the commonest with multiple drawbacks. Another method for localization which is the IOUS is investigated. Patients and methods: This prospective, controlled study enrolled 60 female patients. 30 of them comprised case group (group I) had breast conserving surgeries guided by IOUS and the other 30 patients as a control (group II) who had breast conserving surgeries without any guidance. Specimens Pathological examination was done to ensure the adequacy of free margins. Results: 6 patients from the case group and 14 of the control group had involved inadequate margins. Conclusion: IOUS is an essential adjunct to surgery that should be experienced to maintain safety and cosmoses as the two major impacts of BCS. Keywords: Breast-conserving surgery (BCS), Intra-operative ultrasound (IOUS), Localization, Safety margins |
Databáze: | OpenAIRE |
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