· To report our experience in applying radioguided surgery to patients with suspected occult breast lesions. · To describe the technique,
indications and advantages over other techniques used.
A growth in the number of diagnosed cases of early breast cancer has been observed nowadays.
This has become possible thanks to the larger availability of screening trials,
prevention programs and changes in women's awareness of the approach towards the disease.
3)As a result,
small non-palpable occult breast lesions are detected with increasing frequency.The main issue with non-palpable breast lesions,
is to localize them precisely enough so as able to perform a correct excision with...
Findings and procedure details
112 patients with suspicious non-palpable breast lesions were submitted to radioguided surgery procedures between July 2012 and April 2015.
All patients were women(mean age: 56.6 years).
ROLL (n = 46) and SNOLL (n = 56). Preoperative localization was scheduled for the morning of surgery. For ROLL,
the radioisotope used in our hospital was 1 mCi Technetium 99mTC- human albumin macroaggregates (MAA).
The lesion was targeted under ultrasound or by stereotactic guidance depending on which...
Radioguided occult lesion localization is a very useful procedure,
which is highly appreciated by radiologists,
and patients alike.
It also has the particular advantage of facilitating simultaneous sentinel node scintigraphy.
It is effective,
and easily learnt; however,
preoperative confirmation of correct radiopharmaceutical placement using mammography and the gamma probe is important to help ensure successful lesion removal (9,
10). ROLL is a safe,
"Preliminary experience in sentinel node and occult lesion localization (SNOLL) technique—One center study." Reports of Practical Oncology & Radiotherapy 16.6 (2011): 221-226. 2. Chu TY,
Localisation of occult breast lesion: A comparative analysis of hookwire and radioguided procedures.
Hong Kong Med J (2010): 16: 367–72. 3. Abreu,
"Radioguided surgery for breast cancer: preliminary experience in Piaui."...