Top

World Journal of Surgical Oncology

Published in:

Open Access 01-12-2012 | Technical innovations

Intraoperative portable ultrasonography localization of clinically impalpable soft-tissue tumors

Authors: Jagajeevan Jagadeesan, Jonathan A Davies, Anna Raurell, Robert U Ashford

Published in: World Journal of Surgical Oncology | Issue 1/2012

Abstract

Background

Most soft-tissue tumors are clinically palpable; however, some can be impalpable to clinical examination making it difficult to plan surgical management.

Methods

We present a simple method of perioperative tumor localization using a portable ultrasonography machine.

Results

We used the technique for seven cases, on each occasion identifying the tumor and facilitating the optimal surgical approach.

Conclusion

The technique is reproducible and readily available, and we recommend its use.

Available only for authorised users

Khatri VP, Goodnight JE: Extremity soft tissue sarcoma: controversial management issues. Surg Oncol. 2005, 14: 1-9. 10.1016/j.suronc.2004.07.002.CrossRefPubMed

Pollock RC, Stalley PD: Biopsy of musculoskeletal tumours: beware. ANZ J Surgery. 2004, 74: 516-519. 10.1111/j.1445-2197.2004.03060.x.CrossRef

NICE Guidelines: Ultrasound guided regional nerve block. 2009, NICE, London, Available at: http://www.nice.org.uk/nicemedia/pdf/IPG285Guidance.pdf [Accessed 30 May 2011] Available at: [Accessed 30 May 2011]

NICE Guidelines: Guidance on the use of ultrasound locating devices for placing central venous catheters. 2002, NICE, London, Available at: http://www.nice.org.uk/nicemedia/pdf/Ultrasound_49_guidance.pdf [Accessed 30 May 2011] Available at: [Accessed 30 May 2011]

Working party report - Association of Anaesthetists of Great Britain and Ireland, the Royal College of Anaesthetists, and the Intensive Care Society: Ultrasound in Anaesthesia and Intensive Care – A Guide to Training. 2010, AAGBI, London, Available at http://www.aagbi.org/publications/guidelines/docs/ultrasound_draft_for_website.pdf [Accessed 30 May 2011] Available at [Accessed 30 May 2011]

Ginger VT, Lendvay TS: Intraoperative ultrasound: application in pediatric pyeloplasty. Urology. 2009, 73 (2): 377-379. 10.1016/j.urology.2008.08.507.CrossRefPubMed

Crystal CS, Masneri DA, Hellums JS, Kaylor DW, Young SE, Miller MAMD, Levsky ME: Ultrasound in emergency medicine. J Emerg Med. 2009, 36 (4): 377-380. 10.1016/j.jemermed.2007.10.071.CrossRefPubMed

Staples JR, Tanaka KA, Shanewise JS, Glas KE, Merlino JD, Cooper WA, Puskas JD, Lattouf OM: The use of the sonosite ultrasound device for intraoperative evaluation of the aorta. J Cardiothorac Vasc Anesth. 2004, 18 (6): 715-718. 10.1053/j.jvca.2004.08.007.CrossRefPubMed

Javid SH, Kirstein LJ, Rafferty E, Lipsitz S, Moore R, Rusby JE, Murphy CD, Hughes KS, Specht MC, Taghian AG, Smith BL: Outcome of multiple-wire localization for larger breast cancers: do multiple wires translate into additional imaging, biopsies, and recurrences?. Am J Surg. 2009, 198 (3): 368-372. 10.1016/j.amjsurg.2009.01.021.CrossRefPubMed

10.

Rutten MJCM, Schreurs BW, Van Kampen A, Schreuder HWB: Excision biopsy of impalpable soft tissue tumours. US – guided pre operative localisation in 12 cases. Acta Orthop Scand. 1997, 68 (4): 384-386. 10.3109/17453679708996182.CrossRefPubMed

11.

Dendo S, Kanazawa S, Ando A, Hyodo T, Kouno Y, Yasui K, Mimura H, Akaki S, Kuroda M, Shimizu N, Hiraki Y: Preoperative localization of small pulmonary lesions with a short hook wire and suture system: experience with 168 procedures. Radiology. 2002, 225 (2): 511-518. 10.1148/radiol.2252011025.CrossRefPubMed

12.

Fornage BD, Ross MI, Singletary SE, Paulus DD: Localization of impalpable breast masses: value of sonography in the operating room and scanning of excised specimens. Am J Radiol. 1994, 163: 569-573.

13.

Alexander AA, Nazarian LN, Feld RI: Superficial soft-tissue masses suggestive of recurrent malignancy: sonographic localization and biopsy. American Journal of Radiology. 1997, 169: 1449-1451.

14.

Hill R, Conron R, Greissinger P, Heller M: Ultrasound for the detection of foreign bodies in human tissue. Ann Emerg Med. 1997, 29: 353-356. 10.1016/S0196-0644(97)70347-0.CrossRefPubMed

Title: Intraoperative portable ultrasonography localization of clinically impalpable soft-tissue tumors
Authors: Jagajeevan Jagadeesan
Jonathan A Davies
Anna Raurell
Robert U Ashford
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2012
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/1477-7819-10-243

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Intraoperative portable ultrasonography localization of clinically impalpable soft-tissue tumors

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2012

Total thyroidectomy with ultrasonic dissector for cancer: multicentric experience

Transanal endoscopic microsurgery in treatment of rectal adenomas and T1 low-risk carcinomas

Liver angiosarcoma, a rare liver malignancy, presented with intraabdominal bleeding due to rupture- a case report

The correlates of benefit from neoadjuvant chemotherapy before surgery in non-small-cell lung cancer: a metaregression analysis

Robotic thyroidectomy versus endoscopic thyroidectomy: a meta-analysis

Short-term clinicopathological outcome of neoadjuvant chemohormonal therapy comprising complete androgen blockade, followed by treatment with docetaxel and estramustine phosphate before radical prostatectomy in Japanese patients with high-risk localized prostate cancer