Systematic review of impact of intra-operative ultrasound in breast conserving surgery in early breast cancer

Background: Breast conservation (BCS) is the standard surgical procedure for early breast cancer. It is a challenge for surgeons to achieve adequate excision of lesion with clear margins and acceptable cosmesis. To remove precisely the volume of tissue required, continuous intra-operative ultrasound (IOUS) had been used during BCS. We reviewed its effectiveness to obtain clear margins, low excision volume and better cosmetic outcome.
Source: European Journal of Cancer - Category: Cancer & Oncology Authors: Tags: POSTERS B: Advanced Disease Source Type: research

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ConclusionThe presence of breast cancer does not significantly increase the likelihood for upgrade at a separate site of ipsilateral concurrent ADH above contemporary reported upgrade rates of ADH alone (10 –30%). When considering breast conservation for breast cancer, omitting excision of the site of ADH can be considered when low-risk features are present.
Source: Annals of Surgical Oncology - Category: Cancer & Oncology Source Type: research
Background: Wire-guided localization (WGL) of early breast cancer can be facilitated using multiple wires, which is called bracketing wire-guided localization (BWL). The primary aim of this study is to compare BWL and conventional WGL regarding minimization of resection volumes without compromising margin status. Secondly, BWL is evaluated as an alternative method for intra-operative ultrasound (US) guidance in poorly definable breast tumors on ultrasound.
Source: European Journal of Cancer - Category: Cancer & Oncology Authors: Tags: POSTERS A: Local Regional Treatment – Surgery Source Type: research
CONCLUSION: Our study found that Korean females aged 40-49 years with US-detected breast cancer showed better DFS than those with mammography-detected breast cancer. However, there were no statistically significant differences in OS. PMID: 32901456 [PubMed - as supplied by publisher]
Source: Korean Journal of Radiology - Category: Radiology Tags: Korean J Radiol Source Type: research
Authors: Krishna KL, Srinath BS, Santosh D, Velusamy S, Divyamala V, Sariya Mohammadi J, Kurpad V, Kulkarni S, Yaji P, Goud S, Dhanireddy S, Ram J Abstract BACKGROUND AND AIM: Traditionally lumpectomy as a part of breast-conserving surgery (BCS) is performed by palpation-guided method leading to positive margins and large excision volumes. There is no evidence suggesting that wide margin excisions decrease intra-breast tumour recurrence. Various perioperative techniques are used for margin assessment. We aimed to compare three commonly used techniques, i.e., Ultrasound-guided surgery, palpation-guided surgery and c...
Source: Breast Disease - Category: Cancer & Oncology Tags: Breast Dis Source Type: research
Conclusion: We presented the rare case of a 36-year-old woman with a history of breast cancer and a 700-g breast hamartoma. The preoperative and even the postoperative specification of a hamartoma remains challenging, and associations with genetic alterations should be considered.Breast Care
Source: Breast Care - Category: Cancer & Oncology Source Type: research
Authors: Depretto C, Liguori A, Primolevo A, Di Cosimo S, Cartia F, Ferranti C, Scaperrotta GP Abstract PURPOSE: To investigate the agreement between automated breast ultrasound (ABUS) and hand-held ultrasound (HHUS) in surveillance of women with a history of breast cancer in terms of recurrences or new ipsilateral or contralateral breast cancer. METHODS: The institutional review board approved this retrospective study and informed consent was waived. From April to June 2016, women with dense breasts undergoing annual surveillance with mammography and HHUS after breast-conserving surgery were offered supplement...
Source: Tumori - Category: Cancer & Oncology Tags: Tumori Source Type: research
Authors: Cho E, Lee JH, Park EH, Byun KD Abstract AIMS: To evaluate the clinical utility of supraclavicular scanning for locoregional lymph node (LN) assessment in postoperative screening surveillance using ultrasonography (US) in patients who underwent breast cancer surgery. MATERIAL AND METHODS: From July 2004 to February 2019, 280 suspicious findings for locoregional recurrence in the lymph node (LRL) on postoperative screening US were detected in 266 asymptomatic patients who underwent breast cancer surgery. Suspicious features of LRL on US included the marked hypoechogenicity, round or irregular shape, ecc...
Source: Medical Ultrasonography - Category: Radiology Tags: Med Ultrason Source Type: research
Abstract PURPOSE: To evaluate the efficacy of neoadjuvant chemotherapy in combination with regional inductive moderate hyperthermia for patients with locally advanced breast cancer. PATIENTS AND METHODS: 200 patients with stage IIB-IIIA breast cancer received neoadjuvant chemotherapy (control group, n = 97) or chemotherapy combined with hyperthermia (experimental group, n = 103). Inductive hyperthermia was set at 27.12 ± 0.16 MHz and the 50 W output power. RESULTS: Thermal and color Doppler ultrasound imaging demonstrated that hyperthermia increased the surface temperature on the breasts to
Source: Technology in Cancer Research and Treatment - Category: Cancer & Oncology Authors: Tags: Technol Cancer Res Treat Source Type: research
Publication date: Available online 22 November 2019Source: European Journal of RadiologyAuthor(s): Giovanna Mariscotti, Manuela Durando, Alberto Tagliafico, Pier Paolo Campanino, Davide Bosco, Cristina Casella, Riccardo Bussone, Ada Ala, Isabella Castellano, Anna Sapino, Laura Bergamasco, Paolo Fonio, Nehmat HoussamiAbstractPurposeTo compare the rates of mastectomy and re-operation after breast-conserving surgery(BCS) among patients who had different pre-operative multi-modality imaging, hence identifying significant predictors of mastectomy and re-operations within each group.MethodRetrospective study of consecutive patie...
Source: European Journal of Radiology - Category: Radiology Source Type: research
Publication date: Available online 12 September 2019Source: Saudi Journal of Biological SciencesAuthor(s): Hui Zhang, Li-li Guo, Wei-jing Tao, Jian-dong Zhang, Gen-ji BaiAbstractObjectiveTo investigate the clinical application value of the Mo-targeted X-ray examination, color Doppler ultrasound and magnetic resonance imaging (MRI) in the diagnosis and preoperative comprehensive evaluation of breast cancer.MethodsAmong 170 breast cancer patients, they underwent Mo-targeted X-ray examination, color Doppler ultrasound and MRI before surgery to evaluate the lesions in breast, axillary lymph nodes and the availability of breast...
Source: Saudi Journal of Biological Sciences - Category: Biology Source Type: research
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