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使用放射性引导隐匿性病变定位技术（ROLL）从乳房中取出异物：乳房中的金属异物

Extraction of a Foreign Body from the Breast Using Radio-guided Occult Lesion Localization (ROLL): Metallic Foreign Body in the Breast.

作者信息

Dal Fatih, Ökmen Hasan, Yılmaz Meltem Küçük, Sarı Serkan, Nazlı Mehmet Ali, Arslan Esra

机构信息

Department of General Surgery, Health Sciences University Turkish Ministry of Health, Istanbul Research and Training Hospital, İstanbul, Turkey.

Department of Radyology, Health Sciences University Turkish Ministry of Health, Istanbul Research and Training Hospital, İstanbul, Turkey.

出版信息

Eur J Breast Health. 2017 Jul 1;13(3):159-160. doi: 10.5152/ejbh.2017.3428. eCollection 2017 Jul.

DOI:10.5152/ejbh.2017.3428
PMID:28894857
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5544142/
Abstract

The most common clinical causes of metallic foreign body in the breast are surgical clips, pieces of guide-wire and gunshot wounds. Metallic foreign bodies can lead to local breast pain, abscesses, pneumothorax after granulomas or migration, and cardiac tamponade. Mammotome biopsy, fluoroscopy, guide-wire biopsy and radio-guided occult lesion localization (ROLL) are the standard techniques applied for surgical excision of non-palpable breast lesions. This article presents the second case in the literature undergoing the ROLL technique for the removal of a metallic foreign body from the breast.

摘要

乳腺中金属异物最常见的临床原因是手术夹、导丝碎片和枪伤。金属异物可导致局部乳腺疼痛、脓肿、肉芽肿或迁移后气胸以及心脏压塞。麦默通活检、透视、导丝活检和放射性引导隐匿性病变定位（ROLL）是用于手术切除不可触及乳腺病变的标准技术。本文介绍了文献中第二例采用ROLL技术从乳腺中取出金属异物的病例。

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Histological changes secondary to wire coil placement in breast tissue and lymph nodes.乳腺组织和淋巴结中线圈放置引起的组织学变化。
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本文引用的文献

1
Radioguided occult lesion localization for minimally invasive parathyroidectomy: technical consideration and feasibility.放射性引导下隐匿性病变定位在微创甲状旁腺切除术中的应用：技术考量与可行性
Nucl Med Commun. 2014 Nov;35(11):1167-74. doi: 10.1097/MNM.0000000000000188.
2
The rate of operative success achieved with radioguided occult lesion localization and intraoperative ultrasonography in patients with recurrent papillary thyroid cancer.放射性引导隐匿性病变定位和术中超声检查在复发性甲状腺乳头状癌患者中实现的手术成功率。
Surgery. 2014 Nov;156(5):1116-26. doi: 10.1016/j.surg.2014.04.012. Epub 2014 Jun 19.
3
Extraction of a foreign body from the breast parenchyma using radioguided occult lesion localisation (ROLL) technique: a new approach.应用放射性核素导向隐匿性病灶定位（ROLL）技术从乳腺实质中取出异物：一种新方法。
Br J Radiol. 2010 Jul;83(991):e147-9. doi: 10.1259/bjr/92618371.
4
Radioguided breast surgery for occult lesion localization - correlation between two methods.用于隐匿性病变定位的放射性引导乳腺手术——两种方法的相关性
J Exp Clin Cancer Res. 2008 Aug 15;27(1):29. doi: 10.1186/1756-9966-27-29.
5
Radioisotope for occult lesion localisation (ROLL) of the breast does not require extra radiation protection procedures.用于乳腺隐匿性病变定位（ROLL）的放射性同位素不需要额外的辐射防护措施。
Breast. 2003 Apr;12(2):150-2. doi: 10.1016/s0960-9776(02)00265-5.
6
Sonographically guided mammotome extraction of retained localization wire.超声引导下乳腺旋切刀取出留置定位线
AJR Am J Roentgenol. 1999 Oct;173(4):903-4. doi: 10.2214/ajr.173.4.10511145.
7
Radioguided surgery of occult breast lesions.隐匿性乳腺病变的放射性引导手术。
Eur J Cancer. 1998 Jan;34(1):204-5. doi: 10.1016/s0959-8049(97)00376-6.
8
Metallic particles on mammography after wire localization.钢丝定位后乳腺钼靶上的金属颗粒。
AJR Am J Roentgenol. 1997 Dec;169(6):1637-8. doi: 10.2214/ajr.169.6.9393182.
9
Wire fragments after needle localization.针定位后的金属丝碎片
AJR Am J Roentgenol. 1996 Nov;167(5):1267-9. doi: 10.2214/ajr.167.5.8911193.