Nonpalpable breast tumours and possibilities of its surgical treatment in presents

Czech version

Authors: Petr Motyčka ¹; Pavel Jandík ¹; Ahmed Asqar ¹; Hana Urminská ²; Jitka Kohoutová ²; Aleš Ryška ³; Eva Hovorková ³; Jiří Doležal ⁴
Authors‘ workplace: Chirurgická klinika, LF UK a FN, Hradec Králové, přednosta prof. MUDr. Alexander Ferko, CSc. ¹; Radiologická klinika, LF UK a FN, Hradec Králové, přednosta prof. MUDr. Antonín Krajina, CSc. ²; Fingerlandův ústav patologie, LF UK a FN, Hradec Králové, přednosta prof. MUDr. Aleš Ryška, Ph. D. ³; Oddělení nukleární medicíny, FN, Hradec Králové, primář doc. MUDr. Jiří Doležal, Ph. D. ⁴
Published in: Prakt Gyn 2014; 18(1): 30-34
Category: Oncogynecology: Review Article

Overview

Breast cancer is nowadays captured still in earlier stages through screening mammography. Consequently, even surgeons are increasingly faced with the task to solve nonpalpable breast tumors surgically. Performed operations are dependent entirely on the precise identification of tumor localization with help of navigation (metal wire, pigments). The review describes the procedure routinely used by authors, it points out some difficulties, which occur in clinical practice. High quality cooperation between radiologist, surgeon (breast cancer surgeon), clinical and radiation oncologist, pathologist and physician of the department of nuclear medicine is needed for the best treatment results. This close interdisciplinary cooperation with feedback is necessary requirement for the optimal treatment outcomes in patients with early stages of malignant breast cancer.

Key words:
breast cancer – navigation – nonpalpable tumor – breast-conserving surgery

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