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Intraoperative Ultrasonography-Guided Excision of Nonpalpable Breast Lesions

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Abstract

Background

The use of intraoperative ultrasonography (US) to localize and guide excision of nonpalpable breast lesions has advantages over other techniques. It avoids the need for additional resources and minimizes patient morbidity.

Methods and results

The technique of surgeon-performed US-guided excision as described in this report is straightforward and safe, easily reproducible, and suitable for teaching.

Conclusions

The US-guided breast excision technique is predictable and accurate, minimizes costs, and is advocated as an appropriate method for US-visible lesions requiring surgical excision. With appropriate training, breast surgeons can easily acquire the necessary skills to incorporate the use of US in their surgical practice.

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References

  1. Rubio IT, Henry-Tillman R, Klimberg VS (2003) Surgical use of breast ultrasound. Surg Clin N Am 83:771–788

    Article  PubMed  Google Scholar 

  2. Thompson M, Klimberg VS (2007) Use of ultrasound in breast surgery. Surg Clin N Am 87:469–484

    Article  PubMed  Google Scholar 

  3. Fine RE, Staren ED (2004) Updates in breast ultrasound. Surg Clin N Am 84:1001–1034

    Article  PubMed  Google Scholar 

  4. Bennett IC, Greenslade J, Chiam H (2005) Intraoperative ultrasound-guided excision of nonpalpable breast lesions. World J Surg 29:369–374

    Article  PubMed  CAS  Google Scholar 

  5. Rahusen FD, Bremers AJA, Fabry HF et al (2002) Ultrasound-guided lumpectomy of nonpalpable breast cancer versus wire-guided resection: a randomized clinical trial. Ann Surg Oncol 9:994–998

    Article  PubMed  Google Scholar 

  6. James TA, Harlow S, Sheehey-Jones J et al (2009) Intraoperative ultrasound versus mammographic needle localization for ductal carcinoma in situ. Ann Surg Oncol 16:1164–1169

    Article  PubMed  CAS  Google Scholar 

  7. Ngo C, Pollett AG, Laperrelle J et al (2007) Intraoperative ultrasound localization of nonpalpable breast cancers. Ann Surg Oncol 14:2485–2489

    Article  PubMed  Google Scholar 

  8. Law MT, Bennett IC (2010) Structured ultrasonography workshop for breast surgeons: is it an effective training tool? World J Surg 34:549–554

    Article  PubMed  Google Scholar 

  9. Chadwick DR, Shorthouse AJ (1997) Wire directed localization biopsy of the breast: an audit of results and analysis of factors influencing therapeutic value in the treatment of breast cancer. Eur J Surg Oncol 23:128–133

    Article  PubMed  CAS  Google Scholar 

  10. Kelly P, Winslow EH (1996) Needle wire localization for non-palpable breast lesions: sensations, anxiety levels, and informational needs. Oncol Nurs Forum 23:639–645

    PubMed  CAS  Google Scholar 

  11. Homer MJ, Smith TJ, Safaii H (1992) Prebiopsy needle localization: methods, problems, and expected results. Radiol Clin North Am 30:139–153

    PubMed  CAS  Google Scholar 

  12. Canavese G, Catturich A, Vecchio C et al (1995) Preoperative localization of nonpalpable lesions in breast cancer by charcoal suspension. Eur J Surg Oncol 21:47–49

    Article  PubMed  CAS  Google Scholar 

  13. Paganelli G, Veronesi V (2002) Innovation in early breast cancer surgery: radio-guided occult lesion localization and sentinel node biopsy. Nucl Med Commun 23:625–627

    Article  PubMed  CAS  Google Scholar 

  14. Smith LF, Rubio IT, Henry-Tillman R et al (2000) Intraoperative ultrasound-guided breast biopsy. Am J Surg 180:419–423

    Article  PubMed  CAS  Google Scholar 

  15. Fortunato L, Penteriani R, Farina M et al (2008) Intraoperative ultrasound is an effective and preferable technique to localize non-palpable breast tumors. EJSO 24:1289–1292

    Google Scholar 

  16. La Pinta M, Ascarelli A, Testa V et al (2009) Intraoperative ultrasound in excision of breast nonpalpable lesions: The experience of the breast unit of San Giovanni Hospital in Rome. Breast J 15:546–548

    Article  Google Scholar 

  17. Kaufman CS, Jacobson L, Bachman B et al (2002) Intraoperative ultrasound facilitates surgery for early breast cancer. Ann Surg Oncol 9:988–993

    Article  PubMed  Google Scholar 

  18. Kim J, Chung D, Spillane A (2004) Combined radioguided occult lesion and sentinel node localization for breast cancer. ANZ J Surg 74:550–553

    Article  PubMed  Google Scholar 

  19. Buman SJ, Da Clark (2005) Breast intraoperative ultrasound: prospective study in 112 patients with impalpable lesions. ANZ J Surg 75:124–127

    Article  PubMed  Google Scholar 

  20. Fine RE, Swalke MA, James VP et al (2009) A novel ultrasound-guided electrosurgical loop device for intra-operative excision of breast lesions; an improvement in surgical technique. Am J Surg 198:283–286

    Article  PubMed  Google Scholar 

  21. Gittleman MA (2003) Single-step ultrasound localization of breast lesions and lumpectomy procedure. Am J Surg 186:386–390

    Article  PubMed  Google Scholar 

  22. Anonymous (2010) Australian Society for Ultrasound in Medicine website: http://www.asum.au/site/index.php Qualifications; CCPU Certificate in Clinician Performed Ultrasound

  23. http://www.facs.org/education/ultrasound.html

  24. http://www.facs.org/education/ceste/index.html

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Correspondence to Ian Bennett.

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Bennett, I., Biggar, M. Intraoperative Ultrasonography-Guided Excision of Nonpalpable Breast Lesions. World J Surg 35, 1835–1839 (2011). https://doi.org/10.1007/s00268-011-1082-y

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  • DOI: https://doi.org/10.1007/s00268-011-1082-y

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