caa a22 4500 605539448 CHVBK 20210128100906.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s10396-015-0625-5 doi (NATIONALLICENCE)springer-10.1007/s10396-015-0625-5 The lobar approach to breast ultrasound imaging and surgery [Elektronische Daten] [Dominique Amy, Enzo Durante, Tibor Tot] 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. The Japan Society of Ultrasonics in Medicine, 2015 Breast anatomy nationallicence Breast cancer nationallicence Sick lobe theory nationallicence Lobar ultrasound nationallicence Breast-conserving surgery nationallicence Amy Dominique Breast Center, 21 Avenue Victor Hugo, 13100, Aix-en-Provence, France aut Durante Enzo Institute of General Surgery, University of Ferrara, via C.Contini n° 19, 44123, Ferrara, Italy aut Tot Tibor Department of Clinical Pathology and Cytology, Central Hospital Falun, 79182, Falun, Sweden aut Journal of Medical Ultrasonics Springer Japan 42/3(2015-07-01), 331-339 1346-4523 42:3<331 2015 42 10396 https://doi.org/10.1007/s10396-015-0625-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10396-015-0625-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Amy Dominique Breast Center, 21 Avenue Victor Hugo, 13100, Aix-en-Provence, France aut NATIONALLICENCE 700 1- Durante Enzo Institute of General Surgery, University of Ferrara, via C.Contini n° 19, 44123, Ferrara, Italy aut NATIONALLICENCE 700 1- Tot Tibor Department of Clinical Pathology and Cytology, Central Hospital Falun, 79182, Falun, Sweden aut NATIONALLICENCE 773 0- Journal of Medical Ultrasonics Springer Japan 42/3(2015-07-01), 331-339 1346-4523 42:3<331 2015 42 10396