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The comparison of excisionel biopsies between wire-guided and radioguided occult lesion localization in nonpalpable breast lesions

Year 2011, , 55 - 61, 01.03.2011
https://doi.org/10.5799/ahinjs.01.2011.01.0210

Abstract

Objectives: The development of breast imaging methods increased frequent of nonpalpable breast le-sions. Consequently, diagnosis of early breast cancer increased and breast cancer mortality decreased. Several techniques were described for excisional biopsy of nonpalpable breast lesions. Wire guided local-ization is currently the most commonly used localization method for nonpalpable breast lesions. ROLL is a possible alternative to the commonly used wire guided localization of non palpable breast lesions and ROLL is widespread more and more throughout the world. In this study, wire-guided localization and ROLL were compared for excisional biopsy in nonpalpable breast lesions. Materials and methods: The study was performed on two groups, each containing 30 subjects. We as-sessed radiographical localization time, operative time, volume of the excised specimen, clearance mar-gins, postoperative pain, and hospital stay, cycle time to normal activation, complications, cost-effectiveness, and comfort assessment of each method in terms of surgeon-patient-radiologist between two groups. Results: In both of techniques complete lesions were excised. Statistically there were no significant dif-ferences between two groups in terms of specimen excised volume, operation time, postoperative pain, hospital stay, activate stays (p>0.05). Conclusion: ROLL is a reliable alternative to the wire guided localization.

References

  • Markopoulos C, Kakisis J, Kouskos S, Kontzoglou K, Kou- fopoulos K, Gogas J. Management of nonpalpable, mam- mographically detectable breast lesions. World J Surg 1999;23:434-438.
  • Serving women for 15-years-annual review 2003 NHS Screening Breast http://www.cancerscreening.nhs.uk/breastscreen/publicati ons/2003review.html (Mayıs 2007) Programme.
  • Frank HA, Hall FM, Steer ML. Preoperative localization of nonpalpable breast lesions demonstrated by mammogra- phy. N Engl J Med 1976;295:259-260.
  • Rahusen FD, Bremers AJ, Fabry HF, van Amerongen AH, Boom RP, Meijer S. Ultrasoundguided lumpectomy of nonpalpable breast cancer versus wire-guided resection: a randomized clinical trial. Ann Surg Oncol 2002;9:994- 998.
  • Rampaul RS, Bagnall M, Burrell H, Pinder SE, Evans AJ, Macmillan RD. Randomized clinical trial comparing ra- dioisotope occult lesion localization and wire-guided exci- sion for biopsy of occult breast lesions. Br J Surg 2004;91:1575-1577.
  • Nadeem R, Chagla LS, Harris O, et al. Occult breast le- sions: A comparison between radioguided occult lesion localisation (ROLL) vs. wireguided lumpectomy (WGL). Breast 2005;14:283-289.
  • Buchberger W, Niehoff A, Obrist P, DeKoekkoek-Doll P, Dunser M. Clinically and mammographically occult breast lesions: detection and classification with high-resolution sonography. Semin Ultrasound CT MR 2000;21:325-336.
  • Besic N, Zgajnar J, Hocevar M, et al. Breast biopsy with wire localization: factors influencing complete excision of nonpalpable carcinoma. Eur Radiol 2002;12:2684-2689.
  • 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- 998.
  • De Cicco C, Pizzamiglio M, Trifirò G, et al. Radioguided occult lesion localization (ROLL) and surgical biopsy in breast cancer. Technical aspects. Q J Nucl Med 2002;46:145-151.
  • Luini A, Zurrida S, Paganelli G, et al. Comparison of ra- dioguided excision with wire localization of occult breast lesions. Br J Surg 1999;86:522-525.
  • Gennari R, Galimberti V, De Cicco C, et al. Use of techne- tium-99m-labeled colloid albumin for preoperative and in- traoperative localization of nonpalpable breast lesions. J Am Coll Surg 2000;190:692-698.
  • Ronka R, Krogerus L, Leppanen E, von Smitten K, Leide- nius M. Radio-guided occult lesion localization in patients undergoing breast-conserving surgery and sentinel node biopsy. Am J Surg. 2004;187:491-496.
  • Zgajnar J, Hocevar M, Frkovic-Grazio S, Hertl K, Schweiger E, Besic N. Radioguided occult lesion localiza- tion (ROLL) of the nonpalpable breast lesions. Neoplasma 2004;51:385-389.
  • Thind CR, Desmond S, Harris O, Nadeem R, Chagla LS, Audisio RA. Radioguided localization of clinically occult breast lesions (ROLL): a DGH experience. Clin Radiol 2005;60:681-686.
  • Medina-Franco H, Abarca-Pérez L, García-Alvarez MN, et al. Radioguided occult lesion localization (ROLL) versus wire-guided lumpectomy for non-palpable breast lesions: a randomized prospective evaluation. J Surg Oncol 2008;1;97:108-111.
  • van der Ploeg IM, Hobbelink M, van den Bosch MA, et al. Radioguided occult lesion localizations (ROLL) for non- palpable breast lesions: a review of the relevant literature. Eur J Surg Oncol 2008;34:1-5.
  • Gray RJ, Salud C, Nguyen K, et al. Randomized prospec- tive evaluation of a novel technique for biopsy or lumpec- tomy of nonpalpable breast lesions: radioactive seed ver- sus wire localization. Ann Surg Oncol 2001;8:711-715.
  • Cremonesi M, Ferrari M, Sacco E, et al. Radiation protec- tion in radioguided surgery of breast cancer. Nucl Med Commun 1999;20:919-924.

Palpe edilemeyen meme lezyonlarında tel rehberliğinde ve radyonüklid okült lezyon lokalizasyonu rehberliğinde yapılan eksizyonel biyopsilerin karşılaştırılması

Year 2011, , 55 - 61, 01.03.2011
https://doi.org/10.5799/ahinjs.01.2011.01.0210

Abstract

Amaç: Meme görüntüleme yöntemlerinin gelişmesi palpe edilemeyen meme lezyonlarının sıklığında artı-şa neden olmuştur. Böylece erken meme kanseri tanısında artış ve meme kanserine bağlı mortalitede önemli azalma sağlanmıştır. Palpe edilemeyen meme lezyonlarının eksizyonel biyopsisi için birçok teknik tarif edilmiştir. Dünya genelinde kullanılan standart teknik, tel rehberliğinde eksizyonel biyopsidir. Bu tek-niğin alternatifi Radyonüklid madde rehberliğinde (ROLL) eksizyonel biyopsidir ve gün geçtikçe yaygın-laşmaktadır. Bu çalışmada palpe edilemeyen meme lezyonlarında tel rehberliğinde eksizyonel biyopsi ile ROLL ile eksizyonel biyopsiler karşılaştırıldı. Gereç ve yöntem: Çalışma 30\'ar kişilik iki hasta grubu üzerinde yapıldı. Her iki grup arasında işaretleme süresi, eksizyonel biyopsi süresi, çıkarılan piyesin hacmi, malign olgularda cerrahi sınır, ameliyat sonrası ağrı, yatış süresi, normal aktivasyona dönüş süresi, komplikasyon, maliyet hesaplaması, cerrah-radyolog-hasta yönünden her iki prosedürün konforu değerlendirilmiştir. Bulgular: Her iki teknikte de lezyonların tamamı çıkarılmıştır. İki grup arasında çıkarılan piyes hacmi, ameliyat süresi, ameliyat sonrası ağrı, yatış ve aktivasyon süreleri açısından istatistiksel olarak anlamlı fark bulunmamıştır (p>0.05). İşlemin hasta-radyolog ve cerrah yönünden konforunun araştırılmasında hasta ve radyolog yönünden istatistiksel olarak anlamlı fark bulunmazken (p>0.05), cerrah açısından ROLL tekniği daha rahat bulunmuştur. Sonuç: ROLL, tel ile işaretlemenin alternatifidir.

References

  • Markopoulos C, Kakisis J, Kouskos S, Kontzoglou K, Kou- fopoulos K, Gogas J. Management of nonpalpable, mam- mographically detectable breast lesions. World J Surg 1999;23:434-438.
  • Serving women for 15-years-annual review 2003 NHS Screening Breast http://www.cancerscreening.nhs.uk/breastscreen/publicati ons/2003review.html (Mayıs 2007) Programme.
  • Frank HA, Hall FM, Steer ML. Preoperative localization of nonpalpable breast lesions demonstrated by mammogra- phy. N Engl J Med 1976;295:259-260.
  • Rahusen FD, Bremers AJ, Fabry HF, van Amerongen AH, Boom RP, Meijer S. Ultrasoundguided lumpectomy of nonpalpable breast cancer versus wire-guided resection: a randomized clinical trial. Ann Surg Oncol 2002;9:994- 998.
  • Rampaul RS, Bagnall M, Burrell H, Pinder SE, Evans AJ, Macmillan RD. Randomized clinical trial comparing ra- dioisotope occult lesion localization and wire-guided exci- sion for biopsy of occult breast lesions. Br J Surg 2004;91:1575-1577.
  • Nadeem R, Chagla LS, Harris O, et al. Occult breast le- sions: A comparison between radioguided occult lesion localisation (ROLL) vs. wireguided lumpectomy (WGL). Breast 2005;14:283-289.
  • Buchberger W, Niehoff A, Obrist P, DeKoekkoek-Doll P, Dunser M. Clinically and mammographically occult breast lesions: detection and classification with high-resolution sonography. Semin Ultrasound CT MR 2000;21:325-336.
  • Besic N, Zgajnar J, Hocevar M, et al. Breast biopsy with wire localization: factors influencing complete excision of nonpalpable carcinoma. Eur Radiol 2002;12:2684-2689.
  • 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- 998.
  • De Cicco C, Pizzamiglio M, Trifirò G, et al. Radioguided occult lesion localization (ROLL) and surgical biopsy in breast cancer. Technical aspects. Q J Nucl Med 2002;46:145-151.
  • Luini A, Zurrida S, Paganelli G, et al. Comparison of ra- dioguided excision with wire localization of occult breast lesions. Br J Surg 1999;86:522-525.
  • Gennari R, Galimberti V, De Cicco C, et al. Use of techne- tium-99m-labeled colloid albumin for preoperative and in- traoperative localization of nonpalpable breast lesions. J Am Coll Surg 2000;190:692-698.
  • Ronka R, Krogerus L, Leppanen E, von Smitten K, Leide- nius M. Radio-guided occult lesion localization in patients undergoing breast-conserving surgery and sentinel node biopsy. Am J Surg. 2004;187:491-496.
  • Zgajnar J, Hocevar M, Frkovic-Grazio S, Hertl K, Schweiger E, Besic N. Radioguided occult lesion localiza- tion (ROLL) of the nonpalpable breast lesions. Neoplasma 2004;51:385-389.
  • Thind CR, Desmond S, Harris O, Nadeem R, Chagla LS, Audisio RA. Radioguided localization of clinically occult breast lesions (ROLL): a DGH experience. Clin Radiol 2005;60:681-686.
  • Medina-Franco H, Abarca-Pérez L, García-Alvarez MN, et al. Radioguided occult lesion localization (ROLL) versus wire-guided lumpectomy for non-palpable breast lesions: a randomized prospective evaluation. J Surg Oncol 2008;1;97:108-111.
  • van der Ploeg IM, Hobbelink M, van den Bosch MA, et al. Radioguided occult lesion localizations (ROLL) for non- palpable breast lesions: a review of the relevant literature. Eur J Surg Oncol 2008;34:1-5.
  • Gray RJ, Salud C, Nguyen K, et al. Randomized prospec- tive evaluation of a novel technique for biopsy or lumpec- tomy of nonpalpable breast lesions: radioactive seed ver- sus wire localization. Ann Surg Oncol 2001;8:711-715.
  • Cremonesi M, Ferrari M, Sacco E, et al. Radiation protec- tion in radioguided surgery of breast cancer. Nucl Med Commun 1999;20:919-924.
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Kağan Karabulut This is me

Publication Date March 1, 2011
Published in Issue Year 2011

Cite

APA Karabulut, K. (2011). Palpe edilemeyen meme lezyonlarında tel rehberliğinde ve radyonüklid okült lezyon lokalizasyonu rehberliğinde yapılan eksizyonel biyopsilerin karşılaştırılması. Journal of Clinical and Experimental Investigations, 2(1), 55-61. https://doi.org/10.5799/ahinjs.01.2011.01.0210
AMA Karabulut K. Palpe edilemeyen meme lezyonlarında tel rehberliğinde ve radyonüklid okült lezyon lokalizasyonu rehberliğinde yapılan eksizyonel biyopsilerin karşılaştırılması. J Clin Exp Invest. March 2011;2(1):55-61. doi:10.5799/ahinjs.01.2011.01.0210
Chicago Karabulut, Kağan. “Palpe Edilemeyen Meme lezyonlarında Tel rehberliğinde Ve radyonüklid okült Lezyon Lokalizasyonu rehberliğinde yapılan Eksizyonel Biyopsilerin karşılaştırılması”. Journal of Clinical and Experimental Investigations 2, no. 1 (March 2011): 55-61. https://doi.org/10.5799/ahinjs.01.2011.01.0210.
EndNote Karabulut K (March 1, 2011) Palpe edilemeyen meme lezyonlarında tel rehberliğinde ve radyonüklid okült lezyon lokalizasyonu rehberliğinde yapılan eksizyonel biyopsilerin karşılaştırılması. Journal of Clinical and Experimental Investigations 2 1 55–61.
IEEE K. Karabulut, “Palpe edilemeyen meme lezyonlarında tel rehberliğinde ve radyonüklid okült lezyon lokalizasyonu rehberliğinde yapılan eksizyonel biyopsilerin karşılaştırılması”, J Clin Exp Invest, vol. 2, no. 1, pp. 55–61, 2011, doi: 10.5799/ahinjs.01.2011.01.0210.
ISNAD Karabulut, Kağan. “Palpe Edilemeyen Meme lezyonlarında Tel rehberliğinde Ve radyonüklid okült Lezyon Lokalizasyonu rehberliğinde yapılan Eksizyonel Biyopsilerin karşılaştırılması”. Journal of Clinical and Experimental Investigations 2/1 (March 2011), 55-61. https://doi.org/10.5799/ahinjs.01.2011.01.0210.
JAMA Karabulut K. Palpe edilemeyen meme lezyonlarında tel rehberliğinde ve radyonüklid okült lezyon lokalizasyonu rehberliğinde yapılan eksizyonel biyopsilerin karşılaştırılması. J Clin Exp Invest. 2011;2:55–61.
MLA Karabulut, Kağan. “Palpe Edilemeyen Meme lezyonlarında Tel rehberliğinde Ve radyonüklid okült Lezyon Lokalizasyonu rehberliğinde yapılan Eksizyonel Biyopsilerin karşılaştırılması”. Journal of Clinical and Experimental Investigations, vol. 2, no. 1, 2011, pp. 55-61, doi:10.5799/ahinjs.01.2011.01.0210.
Vancouver Karabulut K. Palpe edilemeyen meme lezyonlarında tel rehberliğinde ve radyonüklid okült lezyon lokalizasyonu rehberliğinde yapılan eksizyonel biyopsilerin karşılaştırılması. J Clin Exp Invest. 2011;2(1):55-61.