During the last decades,
thanks to the great technological and molecular development in the mastology field,
the detection of breast cancer is made increasingly in earlier stages.
conservative surgeries are performed to non-palpable lesions,
which requires accurate and precise preoperative localization.
The marking of these non-palpable lesions can be done through several methods: wire-guided technique ("harpoon") or ROLL technique (Radioguided Occult Lesion Localization).
Breast cancer is the most common form of cancer amongst women in the world,
with high mortality rates.
Its clinical and radiological presentation has great variations.
The challenge is to accurately locate small non-palpable lesions intraoperatively for optimal resection and aesthetically pleasing results.
the most widely adopted approach is wire-guided localization for non-palpable breast lesions,
in the last decades the implementation of ROLL has increased. Wire-guided...
Findings and procedure details
Wire-guided localization: Pros: Locates non-palpable lesions visualized only through mammography. Cons: Needle displacement from the moment of insertionto the moment of its withdrawal during the surgery.
Predominant in breasts with high fatty component and/or mammary prostheses. Difficulty insertingthe needle in dense breasts. Interference with the surgical approach. More cases of compromised margins. Use of radiation. Complications: Transected needles,
pneumothorax. ROLL: Pros: Easy...
The ROLL technique provides a precise,
accurate and safe marking of non-palpable lesions in the breast,
without presenting the disadvantages of the wire-guided technique. Due to its important role in the treatment of early detected breast cancer,
knowledge of this technique and improvement of its process ensures its success,
providing patients a good prognosis after a conservative surgery.
Sara Jaimes Niño. email@example.com firstname.lastname@example.org Radiology Resident. Department of Radiology. Fundación Santa Fe de Bogotá. Colombia,
South America. Mobile: (+57) 310 795 3072
Localization techniques for guided surgical excision of non-palpable breast lesions (Review).
Cochrane Database of Systematic Reviews 2015.
No.: CD009206. Radioguided breast surgery for occult lesion localization -Correlation between two methods.Marcelo Moreno,
Janete Eunice Wiltgen,
Ricardo Ludwig Schmitt,
Bianca Gutfile,Lea Mirian Barbosa daFonseca.Journal of Experimental & Clinical Cancer...