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

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.

Keywords

• Breast lesions, non-palpable, ROLL, localization, wire-guided

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

Öz

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.

Anahtar Kelimeler

• Meme lezyonları, palpe edilemeyen, ROLL, lokalizayon, tel rehberliği

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