Hematoma-directed and ultrasound-guided breast-conserving surgery for nonpalpable breast cancer after Mammotome biopsy

被引：18

作者：

Inui, Hiroki ^{[1
]}

Watatani, Masahiro ^{[1
]}

Hashimoto, Yukihiko ^{[1
]}

Hojo, Toshiya ^{[1
]}

Hirai, Kyoko ^{[1
]}

Yamato, Munehisa ^{[1
]}

Fujishima, Makoto ^{[1
]}

Azumi, Tatsuya ^{[1
]}

Shiozaki, Hitoshi ^{[1
]}

机构：

[1] Kinki Univ, Sch Med, Dept Surg, Osaka 5898511, Japan

来源：

SURGERY TODAY | 2008年 / 38卷 / 03期

关键词：

microcalcification; Mammotome; hematoma-directed surgery;

D O I：

10.1007/s00595-007-3595-4

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Stereotactic vacuum-assisted (Mammotome (TM)) breast biopsy is a powerful diagnostic tool for detecting microcalcifications on mammography, but it is difficult to remove the targeted lesion precisely when subsequent breast-conserving surgery is to be carried out. We achieved satisfactory results by performing hematoma-directed breast-conserving surgery after stereotactic Mammotome biopsy in seven patients. To identify the exact location of the Mammotome biopsy during the breast-conserving surgery, we created an iatrogenic hematoma in the biopsy cavity using patient's blood. This hematoma was detected easily on intraoperative ultrasonography in all patients, and was palpable as a soft mass in five of the seven patients. The microcalcifications were completely removed in all patients, and no cancer cells were found in the margin surfaces after breast-conserving surgery. There were no complications during the injection of the patient's blood into the biopsy cavity or during the hematoma-directed surgery. We describe this new procedure of hematoma-directed breast-conserving surgery following Mammotome biopsy for nonpalpable cancer with microcalcifications.

引用

页码：279 / 282

页数：4

共 11 条

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