“探入，探出：Savi探 scout反射器在乳腺癌定位中穿过扩张导管至乳头——病例报告”
Scout In, Scout out: Savi scout reflector traversing a dilated duct to the nipple in breast cancer localisation-a case report.
作者信息
Sahoo Aman Saswat, Salman Monther, Singh Bhuvi, Weston-Petrides Gina, Ragad Lilia, Elayyan Rasheed
机构信息
Fylde Rd, School of Medicine and Dentistry, University of Central Lancashire, Preston PR1 2HE, The United Kingdom.
Breast Surgery Department, King's College Hospital, Denmark Hill, London SE5 9RS, The United Kingdom.
出版信息
Oxf Med Case Reports. 2025 Mar 20;2025(3):omae196. doi: 10.1093/omcr/omae196. eCollection 2025 Mar.
INTRODUCTION
Savi scout system is being widely used for localising and excising breast tumours. While the migration of scout reflectors has been documented, this is the first case of a Savi Scout reflector migrating through a dilated duct near the lesion and coming out of the nipple.
CASE PRESENTATION
A 56-year-old postmenopausal woman with a history of right breast intraductal papilloma which transformed to Grade II Invasive Ductal Carcinoma (IDC) has a Savi Scout reflector placed in the tumour. However, it migrated through a dilated duct and emerged at the nipple, causing severe pain. The reflector was then surgically removed, and the patient subsequently underwent wide local excision with skin marker localisation.
CONCLUSION
Anatomical variations such as presence of dilated ducts need to be considered before placing scout reflectors. Appropriate positioning would prevent them from migrating through such ducts avoiding patient discomfort and further procedures for localisation.
引言
Savi scout系统正被广泛用于乳腺肿瘤的定位和切除。虽然已记录到侦察反射器的迁移情况，但这是首例Savi Scout反射器通过病变附近扩张的导管迁移并从乳头穿出的病例。
病例介绍
一名56岁绝经后女性，既往有右乳导管内乳头状瘤病史，后转变为II级浸润性导管癌（IDC），在肿瘤内放置了Savi Scout反射器。然而，它通过一条扩张的导管迁移并出现在乳头处，引起剧痛。随后通过手术取出反射器，患者随后接受了皮肤标记定位下的广泛局部切除。
结论
在放置侦察反射器之前，需要考虑诸如存在扩张导管等解剖变异情况。适当的定位可防止它们通过此类导管迁移，避免患者不适以及进一步的定位程序。
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