Gutiérrez SJB, Montemayor MA, Ornelas CG, Elizondo RG, Guerra LJD, González DRK, Gamboa SR, Pérez RE, Cardona HS, Garza GR, Miranda MI

Language: Spanish
References: 10
Page: 173-175
PDF size: 231.33 Kb.

ABSTRACT

Introduction: The preoperative marking of different breast lesions can be done using several methods. The aqueous carbon suspension (ACS) used as a marker, is a simple and low cost technique.
Clinical case: The case of a 47-year old female patient who comes presenting a BIRADS 4 lesion in the upper internal quadrant of the right breast previously identified through a mammography. A marking was done through a sonogram guided ACS. The General Surgery Service performed the excision of the marked tissue, corroborating the presence of the lesion and of the carbon in the excised tissue. The path report identified fibrocystic changes. The carbon did not interfere with its evaluation.
Conclusion: The preoperative marking with ACS has several advantages: it is performed as an outpatient procedure, with local anesthesia and allowing the surgical excision during the next three weeks. The identification of the lesion by the surgeon and the pathologist is more precise, apart from being less costly.

REFERENCES

1. Eguizábal C, Del Villar V, Aizcorbe M y col. Localización prequirúrgica de lesiones mamarias no palpables. Análisis de 254 casos. Radiología 1995;37:85-91.

2. López JA, Echeverría J, Segovia C y col. Marcaje preoperatorio de lesiones mamarias no palpables mediante suspensión acuosa de carbón al 4%. Radiología 2001;41:695-704.

3. Rissanen TJ, Makarainen HP, Mattila SI, et al. Wire localized biopsy of breast lesions: A review of 425 cases found in screening or clinical mammography. Clin Radiol 1993;47:14-22.

4. Delporte P, Laurent JC, Cambier L. Preoperative marking of non-palpable breast lesions by the stereotaxic tattooing and «harpoon» technique. 670 cases. J Ginecol Obstet Biol Reprod 1994;23:259-63.

5. Cavanesse G, Catturich A, Vecchio C, et al. Pre-operative localization of non-palpable lesions in breast cancer by charcoal suspension. Europ J Surg Oncol 1995;21:47-9.

6. Recanatini L, Renoldi L, Sfondrini MS, et al. Non-palpable lesions of the breast. Preoperative location techniques with vegetable charcoal. Radiol Med (Torino) 1998;95:445-8.

7. Svane G. A stereotaxic technique for preoperative marking of non-palpable breast lesions. Acta Radiol (Diagn) 1983;24:145-51.

8. Heywang-Kobrunner SH, Beck R. Technique. In: Heuck FHW (ed.) Contrast enhanced MRI of the breast. 2nd ed. Berlin: Heidelberg, Springer-Verlag, 1996;pp7-56.

9. Kopans DB. Colocación preoperatoria de aguja dirigida por imagen y localización de lesiones clínicamente ocultas. España: Marbán, SL, 1994;pp:320-341.

10. Mullen DJ, Eisen RN, Newman RD et al. The Use of Carbon Marking after Stereotactic Large-Core-Needle Breast Biopsy. Radiology. 2001;218:255-60.