E.M., A., A.Y., F., O.F., A., H.E., A., M.A., A. (2022). Pre-operative Localization of Non-Palpable Lesions in Breast Cancer by Charcoal Suspension. Benha Journal of Applied Sciences, 7(3), 139-144. doi: 10.21608/bjas.2022.244912
Abd Alhafez E.M.; Fareed A.Y.; Ali O.F.; Ali H.E.; Aldesoky M.A.. "Pre-operative Localization of Non-Palpable Lesions in Breast Cancer by Charcoal Suspension". Benha Journal of Applied Sciences, 7, 3, 2022, 139-144. doi: 10.21608/bjas.2022.244912
E.M., A., A.Y., F., O.F., A., H.E., A., M.A., A. (2022). 'Pre-operative Localization of Non-Palpable Lesions in Breast Cancer by Charcoal Suspension', Benha Journal of Applied Sciences, 7(3), pp. 139-144. doi: 10.21608/bjas.2022.244912
E.M., A., A.Y., F., O.F., A., H.E., A., M.A., A. Pre-operative Localization of Non-Palpable Lesions in Breast Cancer by Charcoal Suspension. Benha Journal of Applied Sciences, 2022; 7(3): 139-144. doi: 10.21608/bjas.2022.244912
Pre-operative Localization of Non-Palpable Lesions in Breast Cancer by Charcoal Suspension
1General surgery dept, Faculty of Medicine, Benha Univ, Benha, Egypt
2Surgical Oncology dept, Oncology center, Faculty of medicine, Mansoura Univ, Egypt
3General surgery dept, Benha Teaching Hospital, Benha, Egypt
Abstract
Purpose: evaluate of preoperative charcoal localization of primary non palpable lesions, Encourage the policy of screening & early detection among asymptomatic women especially who are at risk and increase the rate of breast conservative surgery (BCS) in management of breast cancer. Methods: The present prospective study included 30 patients with nonpalpable breast mass. A mean Age of 50.83 ± 15.72years. 30 patients underwent lumpectomy modified radical mastectomy (MRM) and BCS. From Nov 2019 to May 2022. Results: included 30 patients their age ranged from 21 to 77 years with mean age 50.83 years, 36.7% of the studied patients had positive family history, 50% of the studied patients have no complain, 23.3% of the studied patients complained of breast lump, 13.3% had breast pain, where bleeding per nipple, nipple discharge, nipple retraction and complained of nipple ulceration had 3.3% to each, Regarding site of lesion, 40%, 20%, 16.7%, 13.3%, 6.6%, 3.3% had lesions in upper outer quadrant, areola, lower outer quadrant, and upper inner quadrant, central, lower inner quadrant respectively, 50%, and 43.3%%, had right-sided and left sided lesions respectively. Bilateral lesion was present in two patients (6.7%), 53.3% of patients had benign lesions while fourteen patients (46.7%) had malignant lesions, the patient underwent lumpectomy 54%, BCS 10 patients 33% while 4 patients (13%) had MRM, 56.7% patients had no inflammatory response, 13 patient had acute inflammatory response. Of them, 30% had mild response while 13.3% had moderate inflammation. No of them had severe inflammatory response with abscess formation. Only one specimen of them showed severe inflammatory response, Conclusion: US Guided Injection of Charcoal Suspension for non-palpable breast lesions is a very simple, safe and accurate method. After localization by this method.