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World Journal of Surgical Oncology

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Open Access 01-12-2018 | Review

Intraoperative ultrasound in breast cancer surgery—from localization of non-palpable tumors to objectively measurable excision

Authors: Natasa Colakovic, Darko Zdravkovic, Zlatko Skuric, Davor Mrda, Jasna Gacic, Nebojsa Ivanovic

Published in: World Journal of Surgical Oncology | Issue 1/2018

Abstract

Background

The utilization of intraoperative ultrasound (IOUS) in breast cancer surgery is a relatively new concept in surgical oncology. Over the last few decades, the field of breast cancer surgery has been striving for a more rational approach, directing its efforts towards removing the tumor entirely yet sparing tissue and structures not infiltrated by tumor cells. Further progress in objectivity and optimization of breast cancer excision is possible if we make the tumor and surrounding tissue visible and measurable in real time, during the course of the operation; IOUS seems to be the optimal solution to this complex requirement. IOUS was introduced into clinical practice as a device for visualization of non-palpable tumors, and compared to wire-guided localization (WGL), IOUS was always at least a viable, or much better alternative, in terms of both precision in identification and resection and for patients’ and surgeons’ comfort. In recent years, intraoperative ultrasound has been used in the surgery of palpable tumors to optimize resection procedures and overcome the disadvantages of classic palpation guided surgery.

Objective

The aim of this review is to show the role of IOUS in contemporary breast cancer surgery and its changes over time.

Methods

A PubMed database comprehensive search was conducted to identify all relevant articles according to assigned key words.

Conclusion

Over time, the use of IOUS has been transformed from being the means of localizing non-palpable lesions to an instrument yielding a reduced number of positive resection margins, with a smaller volume of healthy breast tissue excided around tumor, by making the excision of the tumor optimal and objectively measurable.

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Title: Intraoperative ultrasound in breast cancer surgery—from localization of non-palpable tumors to objectively measurable excision
Authors: Natasa Colakovic
Darko Zdravkovic
Zlatko Skuric
Davor Mrda
Jasna Gacic
Nebojsa Ivanovic
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2018
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/s12957-018-1488-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Intraoperative ultrasound in breast cancer surgery—from localization of non-palpable tumors to objectively measurable excision

Abstract

Background

Objective

Methods

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Objective

Methods

Conclusion

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