SURGICAL TREATMENT OF INFRACLINICAL BREAST LESIONS : PRELIMINARY RESULTS OF THE SCREENING PROGRAM OF L’ARIANA STATE
##plugins.themes.academic_pro.article.main##
Abstract
Objective: To report clinical, radiological and histological characteristics of the infraclinical breast lesions patients recruited via the large scale mammography breast cancer screening of l’Ariana state in Tunisia.
Materials and methods: Retrospective study over a period of 2 years. The recruitment of patients made on the occasion of the program of breast cancer
screening.
Results: During this period, 22 patients in our unity had had a surgical excision after wire localization. Ten patients were recruited by means of systematic breast cancer screening. In these cases, the mammographic findings were classified B.I.R.A.D.S 4 in 7 cases and BIRADS type 5 in 3 cases. Definitive histology concluded to benign disease in 4 cases and malignancy 6 cases. This collaboration enables the diagnosis an invasive ductal carcinoma in three cases.
Conclusion: The surgical excision after wire localization for non palpable breast lesions allows diagnosis of high-risk benign lesions and low-stage breast cancer. It is a reliable technique which indications have to be based on clinical and radiological strict criteria. This procedure is at present, and in developed countries, widely outstripped with the stereotactic core needle biopsy.
Keywords:
Non-palpable breast cancer, screening, mammography, wire localization##plugins.themes.academic_pro.article.details##
References
- Gøtzsche PC, Olsen O. Is screening for breast cancer with mammography justifiable? Lancet 2000; 355:129-34.
- Ernst MF, Avenarius JK, Schuur KH, Roukema JA. Wire localization of non-palpable breast lesions: out of date? The Breast 2002 ; 11 : 408-413.
- Cottu PH, Cojean-Zelek I, Bourstyn E, de Roquancourt A, Extra JM, Perret F et al. Analyse rétrospective multivariée de la corrélation radio-anatomopathologique de lésions infracliniques du sein. Expérience de l'hôpital Saint-Louis Rev Med Interne 2000 ; 21 : 337-43
- Parker SH, Burbank F, Jackman RJ, Aucreman CJ, Cardenosa G, Cink TM et al. Percutaneous large-core breast biopsy : a multiinstitutional study. Radiology 1994 ; 193 :359-64.
- Heywang-Köbrunner SH, Schaumlöffel U, Viehweg P, Höfer H, Buchmann J, Lampe D . Minimally invasive stereotaxic vacuum core breast biopsy. Eur Radiol 1998 ; 8 : 377-85.
- Seror JY, Antoine M, Chopier J, Setbon F, Uzan S. Premiers résultats de l'utilisation des macrobiopsies par aspiration dans la prise en charge des lésions infracliniques du sein ; présenté aux 9èmes journées du département des tumeurs du sein de l'hôpital Tenon, Paris, 4 décembre 1999.
- Chopier J, Antoine M, Duffaut C, Bazot M, Annani T, Kadoch O et al. Lésions infracliniques mammaires : corrélations radiopathologiques sur les pièces d'exérèse chirurgicale. Intérêt pour le choix des techniques d'exérèse à minimaGynécol Obstet Fertil 2000 ; 28 : 888-95
- Johnson JM, Dalton RR, Wester SM, Landercasper J, Lambert PJ.Histological correlation of microcalcifications in breast biopsy specimens. Arch Surg 1999 ; 134 : 712-5.
- Owings DV, Hann L, Schnitt SJ. How thoroughly should needle localization breast biopsies be sampled for microscopic examination ? A prospective mammographic / pathologic correlative study. Am J Surg Pathol 1990 ; 14 : 578-83.
- Tardivon A, EL Khoury C, Meunier M ,F Thibault. Imagerie interventionnelle en pathologie mammaire. Encycl Med Chir Radiologie 2004 ; 1 :50-67.