Thesis etd-09072023-150741 |
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Thesis type
Tesi di specializzazione (5 anni)
Author
LIBETTA, LUISA
URN
etd-09072023-150741
Thesis title
La chirurgia radioguidata delle lesioni non palpabili della mammella
Department
PATOLOGIA CHIRURGICA, MEDICA, MOLECOLARE E DELL'AREA CRITICA
Course of study
CHIRURGIA GENERALE
Supervisors
relatore Prof. Chiarugi, Massimo
relatore Dott. Marconi, Aroldo
relatore Dott. Marconi, Aroldo
Keywords
- radioguided occult lesion localization
Graduation session start date
26/09/2023
Availability
Withheld
Release date
26/09/2093
Summary
The surgical management of non-palpable breast lesions remains controversial. At our Institute we use a usefull technique, radioguided occult lesion localisation (ROLL) to replace standard methods and overcome their disadvantages. In this work technical aspects of ROLL and results on a large series of patients are reported.
I analysed 180 consecutive patients with non-palpable breast lesions detected mammographically or ultrasonically. (99m)Tc-labelled particles of human serum albumin (7-10 MBq) in 0.2 ml saline were injected into the lesion under ultrasonic guidance. scintigraphy was then performed. The excision biopsy was carried out with the aid of a hand-held gamma-detecting probe, and entire removal of the lesion was verified by X-ray of the specimen.
The tracer was correctly positioned in 179/180 cases (99,4 %). X-ray demonstrated the lesion was entirely removed in 179/180 (99.4%) cases.
I concluded that ROLL enables the surgeon to remove occult breast lesions easily and reliably.
I analysed 180 consecutive patients with non-palpable breast lesions detected mammographically or ultrasonically. (99m)Tc-labelled particles of human serum albumin (7-10 MBq) in 0.2 ml saline were injected into the lesion under ultrasonic guidance. scintigraphy was then performed. The excision biopsy was carried out with the aid of a hand-held gamma-detecting probe, and entire removal of the lesion was verified by X-ray of the specimen.
The tracer was correctly positioned in 179/180 cases (99,4 %). X-ray demonstrated the lesion was entirely removed in 179/180 (99.4%) cases.
I concluded that ROLL enables the surgeon to remove occult breast lesions easily and reliably.
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