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Factors associated with one step surgery in case of non-palpable breast cancer.

Abstract：

PURPOSE:To examine factors associated with one step surgery in case of non-palpable breast cancer. MATERIALS AND METHODS:Clinical data of 152 consecutively diagnosed patients with breast cancer were analyzed retrospectively. Preoperative diagnostic findings were divided in subgroups: mammographically visible mass/microcalcifications/sonographically visible mass/sonographically visible architectural distortion. Correlation between tumor-size, radiologic tumor morphology, quality of localization and number of operation was evulated. For localization exact wire position was defined less than 3mm apart from the lesion. RESULTS:One hundred and thirty-six patients attempted breast conservation and underwent preoperative tumor localization. Fourteen of 16 patients had mastectomy without preoperative localization. Average tumor size was 12mm for one-operation, and 17mm for re-operation. Significant correlation (p<0.001) was found between one operation and masses visible in mammograms (55/62 (89%) patients) or sonography (53/64 (83%) patients). Significant correlation was found (p<0.001) between more re-operation and microcalcifications in mammograms (33/89 (37% patients). In 123/138 (89%) cases wire position was central, in 15/138 (11%) cases distance was maximally 10mm. No significant correlation was found between number of operation and wire position. Re-operation was required in 38 cases. CONCLUSION:Mammographically or sonographically visible mass, small size of tumors, preoperative percutaneous biopsy and exact preoperative localization are important for a single step procedure for definite surgical treatment, that we found in 74% of the patients.

journal_name

Eur J Radiol

journal_title

European journal of radiology

authors

Schaefer FK,Eden I,Schaefer PJ,Peter D,Jonat W,Heller M,Schreer I

doi

10.1016/j.ejrad.2007.02.033

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

426-31

issue

3

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(07)00110-6

journal_volume

64

pub_type

杂志文章

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