The Surgical Approach to the “Sick Lobe”

Mar 23, 2017 by in ONCOLOGY Comments Off on The Surgical Approach to the “Sick Lobe”

Fig. 5.1 Ducto-radial scan in ultrasound examination of the breast; lobe with a structural anomaly situated at a distance of 50 mm from the nipple; irregular patterns along the main…

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Ductal Carcinoma In Situ of the Breast

Mar 23, 2017 by in ONCOLOGY Comments Off on Ductal Carcinoma In Situ of the Breast

Fig. 15.1 Van Nuys DCIS Classification. DCIS patients are separated in high nuclear grade (grade 3) and non-high nuclear grade (grades 1 and 2). Non-high nuclear grade cases are then…

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Radiotherapy of the Breast

Mar 23, 2017 by in ONCOLOGY Comments Off on Radiotherapy of the Breast

Trial [ref.] Survival* Local recurrence Mastectomy BCT Mastectomy BCT Median f/u Milan I [1] 58.8 % 58.3 % 2.3 % 8.8 % 20 year NSABP BO6 [2] 47 % 46…

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Lobar Ultrasonic Breast Anatomy

Mar 23, 2017 by in ONCOLOGY Comments Off on Lobar Ultrasonic Breast Anatomy

Fig. 4.1 Young woman thick lobe with lobular and ductal hyperplasia and poor fatty tissue Fig. 4.2 Ultrasonic scan of an adult breast: ductal ectasia in the main ducts Fig….

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Interstitial Laser Therapy (ILT) of Breast Tumors

Mar 23, 2017 by in ONCOLOGY Comments Off on Interstitial Laser Therapy (ILT) of Breast Tumors

Fig. 10.1 Post-lumpectomy section of a laser treated breast cancer showing concentric zones of coagulated tumor, hyperemic ring, and zone of fat necrosis around the laser fiber Fig. 10.2 Gross…

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Breast MR for Treatment Planning

Mar 23, 2017 by in ONCOLOGY Comments Off on Breast MR for Treatment Planning

Source Number of patients Additional cancer yield of MR (%) MR sensitivity (%) MR specificity (%) Mammographic sensitivity (%) Kriege 1,909 2.4 71.1 89.8 33 Warner 236 9.3 85 93…

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Cryoablation for Breast Cancer

Mar 23, 2017 by in ONCOLOGY Comments Off on Cryoablation for Breast Cancer

Fig. 11.1 Cryoablation console and probe Importantly, since ablation will result in tissue destruction, it is essential that a core biopsy be performed prior to treatment. Sufficient tissue should be…

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High Risk Lesions

Mar 23, 2017 by in ONCOLOGY Comments Off on High Risk Lesions

Lesion Relative risk Usual ductal hyperplasia 2.0 Subareolar papilloma 2.0 Radial scar 1.8 Multiple papillomas 3.1 Papilloma with atypia 5.1 Radial scar with atypia 5.8 Papillomatosis with atypia 7.0 LCIS…

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Ultrasound-Guided Breast Biopsy Tissue Sampling: Technique and Breast Ultrasound Characteristics of Benign and Malignant Lesions

Mar 23, 2017 by in ONCOLOGY Comments Off on Ultrasound-Guided Breast Biopsy Tissue Sampling: Technique and Breast Ultrasound Characteristics of Benign and Malignant Lesions

Alcohol swabs  3 cm3 syringe, 10 cm3 syringe 22-gauge spinal needle (for deep lesions) 22 or 23 gauge 2½-inch needle Glass microscope slides 1 % Xylocaine buffered with bicarbonate spot…

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