Image-guided localization techniques for surgical excision of non-palpable breast lesions: An overview of current literature and our experience with preoperative skin tattoo

Gianluca Franceschini, Daniela Andreina Terribile, Paolo Belli, Riccardo Manfredi, Riccardo Masetti, Elena Jane Mason, Charlotte Marguerite Lucille Trombadori, Alba Di Leone, Beatrice Carnassale, Cristina Grippo

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)1-14
Number of pages14
JournalJournal of Personalized Medicine
Volume11(2)
DOIs
Publication statusPublished - 2021

Keywords

  • Breast cancer
  • Breast ultrasound
  • Breast-conserving surgery
  • Image-guided localization
  • Non-palpable breast lesions
  • Preoperative breast localization

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