评估Magseed标记在乳腺不可触及病变定位中的应用。

IF 0.6 Q4 SURGERY
Marcin Cieciorowski, Thomas Wow, Sławomir Cieśla, Agnieszka Kolacinska, Dawid Murawa
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引用次数: 0

摘要

目前,越来越多的乳腺癌病例被发现在早期进展阶段。切除所需的最小组织体积可确保乳房保持适当的形状。另一方面,获得负组织边缘是很重要的。目的介绍使用Magseed标记物进行术前乳腺肿瘤检测的经验。材料和方法在手术前夜,使用Magtrace磁性标记物来确定淋巴结,在超声控制下,使用Magseed磁性标记物对肿瘤进行标记,并用皮肤标记物标记病变部位作为手术部位。在皮肤切开前,采用术中超声和Sentimag探针定位病变。肿瘤切除后,在磁法准备中确认标记物的存在,以及手术前后超声图像的相容性。研究组结果为23例患者。20例患者(87%)达到根治性。为了评估准备物和肿瘤的大小,使用了Angarita等人关于椭球体体积的公式。评估切除的组织中哪一部分是用Magseed标记物标记的肿瘤。比较评估组开始和结束时11例患者的队列,显示该参数显着增加。借助学习曲线,您可以更精确地识别肿瘤,并通过改善乳房范围内的美学效果来保存健康的乳房组织。结论使用Magseed标记物定位乳腺非根治性病变方法简单,在保留治疗的情况下,其高检出率直接转化为非根治性治疗百分比的降低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of the use of the Magseed marker in the localization of non-palpable lesions in the mammary gland.

Introduction Currently, more and more cases of breast cancer are detected in the early stages of advancement. Removal of the minimum required tissue volume ensures that the proper shape of the breast is maintained. On the other hand, it is important to get negative tissue margins. Objective To present your own experience with the use of preoperative breast tumor determination using the Magseed marker. Material and methods On the eve of the procedure, a Magtrace magnetic marker was administered to determine the lymph nodes and, under ultrasound control, a Magseed magnetic marker to the tumor, and the site of the lesion was marked with a skin marker as the operated site. Before the skin incision, the lesion was located using intraoperative ultrasound and the Sentimag probe. After the tumor was excision, the presence of the marker was confirmed in the preparation using the magnetic method and the compatibility of the ultrasound image before and after the procedure. The results of the research group were 23 patients. Radicality of the procedure was achieved in 20 patients (87%). To assess the size of the preparation and tumor, a formula from the work of Angarita et al. on the volume of the ellipsoid was used. It was assessed what part of the excised preparation was a tumor marked using the Magseed marker. Cohorts of 11 patients at the beginning and end of the evaluated group were compared, showing a significant increase in this parameter. Together with the learning curve, you can identify the tumor much more precisely and save healthy breast tissues by improving the aesthetic effect in the breast range. Conclusions The method of localization of non-pallpatory lesions in the mammary gland using the Magseed marker is simple to use, and the high detection rate directly translates into a reduction in the percentage of non-radical treatments in the case of sparing treatment.

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CiteScore
1.10
自引率
0.00%
发文量
62
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