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保乳术后 BioZorb 植入物放置后乳腺癌患者状态的术后影像学监测。

Post-operative imaging surveillance of breast cancer patients status post lumpectomy with BioZorb implant placement.

机构信息

Department of Diagnostic Imaging, Rhode Island Hospital, Providence, USA.

出版信息

J Radiol Case Rep. 2021 Feb 28;15(2):7-24. doi: 10.3941/jrcr.v15i2.3911. eCollection 2021 Feb.

DOI:10.3941/jrcr.v15i2.3911
PMID:33717407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7942965/
Abstract

The evolving nature of newer surgical techniques and devices adds to the challenge of interpreting breast imaging in the post lumpectomy setting. The BioZorb surgical marker placed at lumpectomy sites for post-operative radiation targeting has its own distinct imaging appearance on each modality. Determining the expected follow-up imaging findings unique to this relatively new device is an ongoing endeavor with minimal literature on this topic. The following series of cases of post BioZorb breast surveillance are one of the first reported in the literature to provide examples of developing asymmetries and new or enlarging masses adjacent to the BioZorb site along with the final pathologic diagnosis for each case. Pathology findings range from fat necrosis and foreign body reaction to recurrent disease.

摘要

新的手术技术和设备的不断发展增加了在保乳手术后进行乳房成像解释的难度。在保乳手术后进行放射治疗定位时,BioZorb 外科标记物在每种成像方式上都有其独特的成像表现。确定这种相对较新的设备的预期随访成像特征是一项持续的努力,但关于这个主题的文献很少。以下一系列 BioZorb 乳房监测后的病例是文献中首次报道的病例之一,这些病例提供了与 BioZorb 部位相邻的新出现或增大的肿块以及每个病例的最终病理诊断的发展不对称的例子。病理结果从脂肪坏死和异物反应到复发性疾病不等。

相似文献

1
Post-operative imaging surveillance of breast cancer patients status post lumpectomy with BioZorb implant placement.保乳术后 BioZorb 植入物放置后乳腺癌患者状态的术后影像学监测。
J Radiol Case Rep. 2021 Feb 28;15(2):7-24. doi: 10.3941/jrcr.v15i2.3911. eCollection 2021 Feb.
2
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本文引用的文献

1
ACR Appropriateness Criteria® Stage I Breast Cancer: Initial Workup and Surveillance for Local Recurrence and Distant Metastases in Asymptomatic Women.ACR 适宜性标准®Ⅰ期乳腺癌:无症状女性局部复发和远处转移的初始检查和监测。
J Am Coll Radiol. 2019 Nov;16(11S):S428-S439. doi: 10.1016/j.jacr.2019.05.024.
2
Three-Dimensional Bioabsorbable Tissue Marker Placement is Associated with Decreased Tumor Bed Volume Among Patients Receiving Radiation Therapy for Breast Cancer.三维可吸收组织标记物放置与接受乳腺癌放射治疗患者的肿瘤床体积减少相关。
Pract Radiat Oncol. 2019 Mar;9(2):e134-e141. doi: 10.1016/j.prro.2018.09.005. Epub 2018 Sep 28.
3
BioZorb tissue marker as seen on multiple imaging modalities.在多种成像模式下可见的BioZorb组织标志物。
Breast J. 2018 Mar;24(2):207-209. doi: 10.1111/tbj.12870. Epub 2017 Aug 14.
4
Imaging Surveillance After Primary Breast Cancer Treatment.原发性乳腺癌治疗后的影像监测
AJR Am J Roentgenol. 2017 Mar;208(3):676-686. doi: 10.2214/AJR.16.16300. Epub 2017 Jan 11.
5
Impact of a Novel Bioabsorbable Implant on Radiation Treatment Planning for Breast Cancer.新型生物可吸收植入物对乳腺癌放射治疗计划的影响。
World J Surg. 2017 Feb;41(2):464-471. doi: 10.1007/s00268-016-3711-y.
6
The postconservation breast: part 2, Imaging findings of tumor recurrence and other long-term sequelae.保乳术后乳房:第 2 部分,肿瘤复发和其他长期后遗症的影像学表现。
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7
MR imaging assessment of the breast after breast conservation therapy: distinguishing benign from malignant lesions.保乳治疗后乳腺的磁共振成像评估:良性与恶性病变的鉴别。
Radiographics. 2012 Jan-Feb;32(1):219-34. doi: 10.1148/rg.321115016.