Nonpalpable breast tumours and possibilities of its surgical treatment in presents

Česká verzia

Authors: Petr Motyčka ¹; Pavel Jandík ¹; Ahmed Asqar ¹; Hana Urminská ²; Jitka Kohoutová ²; Aleš Ryška ³ ; Eva Hovorková ³; Jiří Doležal ⁴
Authors place of work: Chirurgická klinika, LF UK a FN, Hradec Králové, přednosta prof. MUDr. Alexander Ferko, CSc. ¹; Radiologická klinika, LF UK a FN, Hradec Králové, přednosta prof. MUDr. Antonín Krajina, CSc. ²; Fingerlandův ústav patologie, LF UK a FN, Hradec Králové, přednosta prof. MUDr. Aleš Ryška, Ph. D. ³; Oddělení nukleární medicíny, FN, Hradec Králové, primář doc. MUDr. Jiří Doležal, Ph. D. ⁴
Published in the journal: Prakt Gyn 2014; 18(1): 30-34
Category: Oncogynecology: Review Article

Summary

Breast cancer is nowadays captured still in earlier stages through screening mammography. Consequently, even surgeons are increasingly faced with the task to solve nonpalpable breast tumors surgically. Performed operations are dependent entirely on the precise identification of tumor localization with help of navigation (metal wire, pigments). The review describes the procedure routinely used by authors, it points out some difficulties, which occur in clinical practice. High quality cooperation between radiologist, surgeon (breast cancer surgeon), clinical and radiation oncologist, pathologist and physician of the department of nuclear medicine is needed for the best treatment results. This close interdisciplinary cooperation with feedback is necessary requirement for the optimal treatment outcomes in patients with early stages of malignant breast cancer.

Key words:
breast cancer – navigation – nonpalpable tumor – breast-conserving surgery

Zdroje

1. Coufal O, Fait V, Chrenko I. Parciální mastektomie. In: Coufal O, Fait V et al. Chirurgická léčba karcinomu prsu. Grada Publishing: Praha 2011: 121–149. ISBN 978–80–247–3641–9.

2. Giuliano AE, Mc Call L, Britech P et al, Locoregional recurence after sentinel lymph node dissection with or without axillary dissection in patiens with sentinel lymh node metastase. Ann Surg 2010; 252(3): 426–433.

3. Golshan M, Martin WJ, Dowlatshahi K. Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection. Am Surg 2003; 69(3): 209–211.

4. Cox CE, Bass SS, Mc Cann CR, Ku NN, Berman C, Furane K, et al. Lymphatic mapping and sentinel lymph node biopsy in patiens with Breast cancer. Annu Rev Med 2000; 51:525–542.

5. Coufal O, Fait V, Chrenko I. Biopsie sentinelové uzliny. In: Coufal O, Fait V et al. Chirurgická léčba karcinomu prsu. Grada Publishing: Praha 2011: 207–224. ISBN 978–80–247–3641–9.

6. Meier P, Ferguson DJ, Harrison T. A controlled trial of extended radical versus radical mastectomy. Ten-year results. Cancer 1989; 63(1): 188–195.

7. Jandík P. Poznámky k rozsahu chirurgické péče u malých karcinomů prsu – rýsují se změny? Breast Cancer News 2013; 3(1): 12–15.