PresentationBreast tattoos for planning surgery following neoadjuvant chemotherapy
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Cited by (21)
Preoperative chemotherapy for T2 breast cancer is associated with improved surgical outcome
2015, European Journal of Surgical OncologyCitation Excerpt :The advantage of PC prior to surgery is the chance to achieve negative margins while resecting less tissue due to tumor shrinkage. Lannin et al.29 reported the required tissue resection volume to be to 4 times greater than the tumor itself for 3–5 cm tumor. So PC gives the chance to achieve negative margins while resecting smaller volumes even you resect the entire involved breast tissue.
Radioguided occult lesion localisation (ROLL) in breast-conserving surgery after neoadjuvant chemotherapy
2012, European Journal of Surgical OncologyThe Neoadjuvant Net: A patient- and surgeon-friendly device to facilitate safe breast-conserving surgery in patients who underwent neoadjuvant treatment
2012, BreastCitation Excerpt :For this reason, in our Institution we strongly believe that removing all the pre-neoadjuvant tumor burden is mandatory during breast-conserving treatment. Not considering this standard could lead to an unjustified elevated number of positive margins, and IBRTs requiring multiple surgeries.26 Radical BCS can be extremely complex because the necrotic tissue which replaces the tumor cells is always softer and, consequently, less palpable, above all, in cases of a complete clinical response.
Breast conservative surgery after neoadjuvant chemotherapy in breast cancer patients: Comparison of two tumor localization methods
2011, European Journal of Surgical OncologyCitation Excerpt :If all the volume of the original tumor had to be excised after NAC, it may eliminate the advantage of the preoperative treatment. The main advantage of the preoperative treatment is that negative margins can be achieved without resecting a wide area of normal breast tissue around the tumor.7 The panel of the 2003 consensus conference on NAC in breast cancers recommended marking the tumor site.8
Neoadjuvant chemotherapy for operable breast cancer: Individualizing locoregional and systemic therapy
2010, Surgical Oncology Clinics of North AmericaCitation Excerpt :In addition, we routinely tattoo the skin overlying the margins of the palpable tumor mass in the breast (usually at the time of venous access placement in the operating room), even if the patient has had a clip placed in the tumor (Fig. 6). This marking is a valuable aid to the ongoing clinical evaluation of the tumor response during therapy and helps to plan surgery, often making wire localization of the tumor site unnecessary.52 Space does not allow a detailed review of the different chemotherapy regimens that can be used in the neoadjuvant setting for operable breast cancers.
Breast conservation in locally advanced breast cancer in developing countries: Wise or waste
2009, Surgical OncologyCitation Excerpt :Breast conservative surgery in such patients might prove to be difficult unless the primary tumor area had been marked previously. For a patient who is about to receive NACT it is therefore important to mark the exact tumor location by any of the various techniques discussed in the previous few paragraphs under mammographic or sonographic guidance especially in patients with dense breasts [42–47]. This can be performed either at the time of the initial core biopsy or subsequently when there is clinical evidence of response.