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Iodine seed localisation of non-palpable lesions in breast surgery − first experience


Authors: O. Coufal 1,7;  M. Schneiderová 2;  P. Fabian 3;  Š. Kozáková 4,8;  Z. Řehák 5;  J. Bártl 5,6;  R. Bartlová 6;  M. Glatzner 2,6;  O. Zapletal 1;  L. Gabrielová 1
Authors‘ workplace: Klinika operační onkologie, Oddělení mamokutánní a onkoplastické chirurgie, Masarykův onkologický ústav, Brno 1;  Oddělení radiologie, Masarykův onkologický ústav, Brno 2;  Oddělení onkologické patologie, Masarykův onkologický ústav, Brno 3;  Ústavní lékárna, Masarykův onkologický ústav, Brno 4;  Oddělení nukleární medicíny, Masarykův onkologický ústav, Brno 5;  Úsek radiační ochrany, Masarykův onkologický ústav, Brno 6;  Klinika operační onkologie, Lékařská fakulta Masarykovy univerzity, Brno 7;  Nemocniční lékárna Fakultní nemocnice Brno 8
Published in: Rozhl. Chir., 2021, roč. 100, č. 6, s. 261-265.
Category: Review
doi: https://doi.org/10.33699/PIS.2021.100.6.261–265

Overview

Surgical therapy of non-palpable malignant breast lesions requires precise preoperative localisation. Recently, radioactive iodine seed localisation has excelled among the number of localisation methods. We present our first experience with this method at our department. We describe the structure of the radioactive iodine seed, the principles of preoperative localisation and peroperative detection of the seed, the specimen transport process, histopathological examination, storage and disposal of the seed, as well as aspects of radiation protection.

Keywords:

breast-conserving surgery − breast cancer − radioactive seed – non-palpable breast lesions


Sources

1. Kasem I, Mokbel K. Savi Scout® radar localisation of non-palpable breast lesions: Systematic review and pooled analysis of 842 cases. Anticancer Res. 2020 Jul;40(7):3633−3643. doi: 10.21873/anticanres. 14352.

2. Wazir U, Tayeh S, Perry N, et al. Wireless breast localisation using radio-frequency identification tags: The first reported European experience in breast cancer. In Vivo 2020;34(1):233−238. doi:10.21873/ invivo. 11765.

3. Gray RJ, Nguyen K, DauWay E, et al. Randomized prospective evaluation of a novel technique for biopsy or lumpectomy of nonpalpable breast lesions: radioactive seed versus wire localization. Ann Surg Oncol. 2001;8(9):711−715. doi: 10.1007/s10434/001/0711/3.

4. Gray RJ, Pockaj BA, Karstaedt PJ, et al. Radioactive seed localization of nonpalpable breast lesions is better than wire localization. Am J Surg. 2004;188(4):377−380. doi: 10.1016/j.amjsurg.2004.06.023.

5. Hughes JH, Mason MC, Gray JR, et al. A multi-site validation trial of radioactive seed localization as an alternative to wire localization. Breast J. 2008;14:153−157. doi: 10.1111/j.1524-4741.2007.00546.x.

6. Lovrics PJ, Goldsmith CH, Hodgson N, et al. A multicentered, randomized, controlled trial comparing radioguided seed localization to standard wire localization for nonpalpable, invasive and in situ breast carcinomas. Ann Surg Oncol. 2011;18(12):3407−3414.doi: 10.1245/ s10434-011-1699-y.

7. Murphy JO, Moo TA, King TA, et al. Radioactive seed localization compared to wire localization in breast-conserving surgery: Initial 6-month experience. Ann Surg Oncol. 2013;20(13):4121–4127 doi: 10.1245/ s10434-013-3166.

8. Gobardhan PD, de Wall LL, van der Laan L, et al. The role of radioactive iodine-125 seed localization in breast-conserving therapy following neoadjuvant chemotherapy. Ann Oncol. 2013;24:668−667. doi: 10.1093/annonc/mds475.

9. Taylor DB, Bourke AG, Westcott E, et al. Radioguided occult lesion localisation using iodine-125 seeds (ROLLIS) for removal of impalpable breast lesions: First Australian experience. J Med Imaging Radiat Oncol. 2015;59(4):411−420. doi: 10.1111/1754-9485.12302.

10. Milligan R, Pieri A, Critchley A, et al. Radioactive seed localization compared with wire-guided localization of non-palpable breast carcinoma in breast conservation surgery – the first experience in the United Kingdom. Br J Radiol. 2018;91(1081):20170268. doi: 10.1259/ bjr.20170268.

11. Niinikoski L, Hukkinen K, Leidenius MHK, et al. Resection margins and local recurrences of impalpable breast cancer: Comparison between radioguided occult lesion localization (ROLL) and radioactive seed localization (RSL). Breast 2019;47:93−101. doi: 10.1016/j. breast.2019.07.004.

12. Sánchez Sánchez R, Gonález Jiménez AD, Rebollo Aguirre AC, et al. 125I radioactive seed localization for non-palpable lesions in breast cancer. Rev Esp Med Nucl Imagen Mol. 2019;38(6):343−347. doi: 10.1016/j.remn.2019.05.004.

13. Patriciu A, Petrisor D, Muntener M, et al. Automatic brachytherapy seed placement under MRI guidance. IEEE transaction on biomedical engineering. IEEE Trans Biomed Eng. 2007 Aug;54(8):1499– 1506. doi: 10.1109/TBME 2007.900816.

14. Caudle AS, Yang WT, Krishnamutrhy S, et al. Improved axillary evaluation following neoadjuvant therapy for patients with node-positive breast cancer using selective evaluation of clipped nodes: Implementation of targeted axillary dissection. J Clin Oncol. 2016;34(10):1072−1078. doi: 10. 1200/JCO.2015.64.0094. Epub 2016 Jan 25.

15. Patriciu A, Petrisor D, Muntener M, et al. Automatic brachytherapy seed placement under MRI guidance. IEEE Trans Biomed Eng. 2007;54(8):1499−1506. doi: 10.1109/TBME.2007.900816.

16. Coufal O, Zapletal O, Gabrielová L, et al. Targeted axillary dissection and sentinel lymph node biopsy in breast cancer patients after neoadjuvant chemotherapy − retrospective study. Rozhl Chir. 2018;97(12):551−557.

17. Reed AJ, Kim JH, Burrage JW. Development and application of a similar method for calculating breast dose from radio-guided occult lesion localisation using iodine − 125 seeds (ROLLIS). Phys Med Biol. 2019;64(7):075020. doi: 10.1088/1361-6560/ab0149.

18. Alderliesten T, Loo CE, Pengel KE, et al. Radioactive seed localization of breast lesions: an adequate localization method without seed migration. Breast J. 2011;17(6):594−601. doi: 10.1111/j.1524- 4741.2011.01155.x. Epub. 2011 Sep 12.

19. Donker M, Straver ME, Wesseling J, et al. Marking axillary lymph nodes with radioactive iodine seeds for axillary staging after neoadjuvant systemic treatment in breast cancer patients: the MARI procedure. Ann Surg. 2015;261(2):378−382. doi: 10.1097/SLA.0000000000000558.

20. McGhan LJ, McKeever SC, Pockaj BA, et al. Radioactive seed localization for nonpalpable breast lesions: review of 1,000 consecutive procedures at a single institution. Ann Surg Oncol. 2011 Oct;18(11):3096−3101. doi: 10.1245/ s10434-011-1910-1. Epub. 2011 Sep 27.

21. Kodl O, Jursíková E, Daneš J, et al. Přínos a radiační riziko při mamografickém screeningu za období 2003−2007. Ces Radiol. 2009;63(4):342−347.

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Surgery Orthopaedics Trauma surgery

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Perspectives in Surgery

Issue 6

2021 Issue 6

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