The use of imaging tests to obtain optimal margins in breast surgery

• Authors: Elżbieta Ostańska , Dorota Bartusik-Aebisher , Joanna Gustalik , David Aebisher , Sabina Galiniak , Ewa Kaznowska
• Languages of publication: EN

Abstracts

EN

Introduction. The proper negative margins (R0) breadth in the breast - conserving surgery for invasive breast cancer (IBC) and ductal carcinoma in situ (DCIS) is very important. The presence positive surgical margins (R1) is associated with the necessity of reoperation. It delays the adjuvant therapy and psychologically burdens the patient. The re-operation increases the costs of treatment. The introduction of mammography (MMG) increased detection of DCIS by 20%. With the increase in malignancy, cancer detection decreases in MMG, inversely in MRI groving. Effective preoperative and intraoperative diagnosis aims to reduce the number of R1 resections. Aim. The size of the tumor next to its biology, determines the clinical course of the tumor. The accurate analysis of imaging tests is important. Material and methods. This analysis was performed using a systematic literature search. Results. Adequate surgical margins in breast cancer surgery for breast cancer have been reviewed. It is important to know if the cancer is multifocal and what the extent of the tumor is. Conclusion. The adequacy of margins is important for adjusting the volume of excision. It is avoiding unnecessary resection of healthy breast tissue. It is essential for a good cosmetic result and the local recurrence rate. The combination of breast MRI with conventional breast imaging resulted in the lover rate of the R1 resectios and the lower rate of the re-operation.

Keywords

EN

breast conserving surgery; ductal carcinoma in situ; extensive itraductal component invasive breast cancer; lobular carcinoma in situ

• Publisher: Wydawnictwo Uniwersytetu Rzeszowskiego
• Journal: European Journal of Clinical and Experimental Medicine
• Year: 2019
• Issue: 3
• Pages: 246-249

Contributors

author

Elżbieta Ostańska

• Clinical Department of Pathomorphology, Clinical Hospital No. 1, Rzeszów, Poland

author

Dorota Bartusik-Aebisher

• Department of Biochemistry and General Chemistry, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland

author

Joanna Gustalik

• Clinical Department of Pathomorphology, Clinical Hospital No. 1, Rzeszów, Poland

author

David Aebisher

• Department of Photomedicine and Physical Chemistry, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
• 3 Department of Pathomorphology, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland

author

Sabina Galiniak

• Department of Biochemistry and General Chemistry, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland

author

Ewa Kaznowska

• Clinical Department of Pathomorphology, Clinical Hospital No. 1, Rzeszów, Poland
• 3 Department of Pathomorphology, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland

Identifiers

DOI

544-2406 doi: 10.15584/ejcem.2019.3.8