Franceschini Gianluca, Mason Elena Jane, Grippo Cristina, D'Archi Sabatino, D'Angelo Anna, Scardina Lorenzo, Sanchez Alejandro Martin, Conti Marco, Trombadori Charlotte, Terribile Daniela Andreina, Di Leone Alba, Carnassale Beatrice, Belli Paolo, Manfredi Riccardo, Masetti Riccardo
Multidisciplinary Breast Centre, Dipartimento Scienze della Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Dipartimento di Scienze Mediche e Chirurgiche, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
J Pers Med. 2021 Feb 4;11(2):99. doi: 10.3390/jpm11020099.
Breast conserving surgery has become the standard of care and is more commonly performed than mastectomy for early stage breast cancer, with recent studies showing equivalent survival and lower morbidity. Accurate preoperative lesion localization is mandatory to obtain adequate oncological and cosmetic results. Image guidance assures the precision requested for this purpose. This review provides a summary of all techniques currently available, ranging from the classic wire positioning to the newer magnetic seed localization. We describe the procedures and equipment necessary for each method, outlining the advantages and disadvantages, with a focus on the cost-effective preoperative skin tattoo technique performed at our centre. Breast surgeons and radiologists have to consider ongoing technological developments in order to assess the best localization method for each individual patient and clinical setting.
保乳手术已成为乳腺癌治疗的标准术式，对于早期乳腺癌，保乳手术的实施比乳房切除术更为普遍，近期研究表明二者生存率相当，但保乳手术的发病率更低。准确的术前病变定位对于获得满意的肿瘤学和美容效果至关重要。图像引导可确保达到这一目的所需的精准度。本综述总结了目前所有可用的技术，从经典的金属丝定位到更新的磁性种子定位。我们描述了每种方法所需的操作步骤和设备，概述了其优缺点，并重点介绍了我们中心采用的具有成本效益的术前皮肤纹身技术。乳腺外科医生和放射科医生必须考虑技术的不断发展，以便为每个患者和临床情况评估最佳的定位方法。
