Breast Cancer Surgery in Images

Chirurgia (Bucur). 2017 Jul-Aug;112(4):486-493. doi: 10.21614/chirurgia.112.4.486.

Abstract

As a picture speaks more than a thousand words, we tried to reflect, at least in part, on our surgical day-to-day practice on the 2nd Oncological Surgery Department of "Prof. Dr. Al. Trestioreanu" Bucharest Institute of Oncology in the field of breast cancer. And how could we not talk about imaging in breast cancer, when one of the reasons for low breast cancer mortality at present is early detection, which is performed through imaging investigations. Mammographic screening is recognized as a success in this area (Fig. 1), but moreover, mammary ultrasound, a newer addition to this domain, also allows the detection of infraclinical cancers (Fig. 2). The localization of these infraclinical lesions can be obtained preoperatively by mammographic technique using a harpoon (Fig. 3). Under ultrasound guidance we can not only puncture cysts (Fig. 4), but also perform mammary biopsies for suspicious lesions.

MeSH terms

  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery
  • Early Detection of Cancer
  • Female
  • Humans
  • Mammaplasty / methods
  • Mammography* / methods
  • Mass Screening
  • Mastectomy / methods
  • Neoplasm Staging
  • Predictive Value of Tests
  • Sensitivity and Specificity
  • Sentinel Lymph Node Biopsy / methods
  • Ultrasonography, Interventional
  • Ultrasonography, Mammary / methods