Breast-conserving surgery using projection and reproduction techniques of surgical-position breast MRI in patients with ductal carcinoma in situ of the breast
Breast-conserving surgery using projection and reproduction techniques of surgical-position breast MRI in patients with ductal carcinoma in situ of the breast
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DOI：
10.1016/j.jamcollsurg.2007.12.034
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发表时间：
2008-07-01
影响因子：
5.2
通讯作者：
Miyazaki, Masaru
中科院分区：
文献类型：
--
作者：
Sakakibara, Masahiro;Nagashima, Takeshi;Miyazaki, Masaru
背景技术背景：在这项研究中，我们报告了保乳手术（BCS）的方法，使用投影和再现技术的乳房MRI获得的手术位置的乳房表面的乳腺导管原位癌（DCIS）的患者breast.Study设计：在2005年2月至2007年1月，共有104例可手术的乳腺癌患者在我院进行了手术位置的乳房MRI检查。24例相对局限性DCIS患者使用体位乳腺MRI的投影和再现技术接受BCS。在同一时间段内，28例进行俯卧位乳腺MRI的相对局限性DCIS患者使用乳腺X线摄影引导的钩丝进行了传统BCS。在这项研究中，我们比较了我们的手术方法与传统的方法在相对局限性DCIS.RESULTS 52例患者的手术结果：新技术组的病理标本的平均体积（27.5 cm（3））是3substantially小于传统BCS组（57.6 cm（3），p = 0.0007）。此外，新技术组的阳性边缘率（12.5%）明显低于传统BCS组（39.3%; p = 0.029）。结论：本研究表明，BCS可以通过精确的投影和再现技术的指导下进行，这些技术是通过体位乳腺MRI获得的。据我们所知，这是第一次报告BCS技术的DCIS以这种方式。我们的手术方法在临床上可用于DCIS患者的手术计划和管理。
BACKGROUND: In this study, we report a breast-conserving surgery (BCS) approach that uses projection and reproduction techniques of breast MRI obtained in the surgical position to the breast surface in patients with ductal carcinoma in situ (DCIS) of the breast.STUDY DESIGN: Between February 2005 and January 2007, a total of 104 patients with operable breast cancer at our hospital had surgical-position breast MRI examinations. The 24 patients with relatively localized DCIS received BCS using the projection and reproduction techniques of the surgical-position breast MRI. During the same time period, 28 patients with relatively localized DCIS in whom prone-position breast MRI was performed, had conventional BCS using mammography-guided hookwires. In this study, we compared the surgical outcomes of our surgical approach with those of the conventional approach in a total of 52 patients with relatively localized DCIS.RESULTS: Average volume of the pathologic specimens in the new technique group (27.5 cm(3)) was 3substantially smaller than that in the conventional BCS group (57.6 cm(3), p = 0.0007). In addition, the positive margin rate was substantially lower in the new technique group (12.5%) than in the conventional BCS group (39.3%; p = 0.029).CONCLUSIONS: This study demonstrates that BCS can be done guided by the precise projection and reproduction techniques of the lesion obtained by surgical-position breast MRI. To the best of our knowledge, this is the first report of BCS technique for DCIS in this manner. Our surgical approach can be clinically useful in surgical planning and management in patients with DCIS.