The lobar approach to breast ultrasound imaging and surgery

Verfasser / Beitragende:
[Dominique Amy, Enzo Durante, Tibor Tot]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Medical Ultrasonics, 42/3(2015-07-01), 331-339
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10396-015-0625-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10396-015-0625-5 
245 0 4 |a The lobar approach to breast ultrasound imaging and surgery  |h [Elektronische Daten]  |c [Dominique Amy, Enzo Durante, Tibor Tot] 
520 3 |a Breast cancer is a lobar disease in the sense that, at the earliest stages, the cancer is structurally confined to a single sick lobe. The subgross morphology of breast carcinoma is often complex, as multiple invasive foci are frequently present and the ductal system often contains an extensive in situ component. Adequate preoperative visualization of all of the malignant structures within the affected breast and preoperative mapping of the lesions in relation to the surrounding normal structures are essential for successful image-guided breast surgery and therefore are key factors in assuring adequate local control of the disease. We advocate use of the lobar approach in ultrasound imaging (ducto-radial echography) and breast-conserving surgery based on the lobar anatomy of the breast, the sick lobe theory, our extensive clinical experience with the approach, and favorable long-term patient outcomes. Despite abundant evidence demonstrating the advantages of the lobar approach, the number of breast centers using it in practice is still limited. In this review, we aim to call attention to the advantages of the lobar approach from the theoretical, imaging, and surgical points of view. 
540 |a The Japan Society of Ultrasonics in Medicine, 2015 
690 7 |a Breast anatomy  |2 nationallicence 
690 7 |a Breast cancer  |2 nationallicence 
690 7 |a Sick lobe theory  |2 nationallicence 
690 7 |a Lobar ultrasound  |2 nationallicence 
690 7 |a Breast-conserving surgery  |2 nationallicence 
700 1 |a Amy  |D Dominique  |u Breast Center, 21 Avenue Victor Hugo, 13100, Aix-en-Provence, France  |4 aut 
700 1 |a Durante  |D Enzo  |u Institute of General Surgery, University of Ferrara, via C.Contini n° 19, 44123, Ferrara, Italy  |4 aut 
700 1 |a Tot  |D Tibor  |u Department of Clinical Pathology and Cytology, Central Hospital Falun, 79182, Falun, Sweden  |4 aut 
773 0 |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/3(2015-07-01), 331-339  |x 1346-4523  |q 42:3<331  |1 2015  |2 42  |o 10396 
856 4 0 |u https://doi.org/10.1007/s10396-015-0625-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10396-015-0625-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Amy  |D Dominique  |u Breast Center, 21 Avenue Victor Hugo, 13100, Aix-en-Provence, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Durante  |D Enzo  |u Institute of General Surgery, University of Ferrara, via C.Contini n° 19, 44123, Ferrara, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tot  |D Tibor  |u Department of Clinical Pathology and Cytology, Central Hospital Falun, 79182, Falun, Sweden  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Medical Ultrasonics  |d Springer Japan  |g 42/3(2015-07-01), 331-339  |x 1346-4523  |q 42:3<331  |1 2015  |2 42  |o 10396