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- Title
NON-BREAST AXILLARY LESIONS EXCISED WITH GUIDANCE OF ROLL (RADIOOCCULT LESION LOCALISATION) SURGERY.
- Authors
Yildiz, Ramazan; Kilbaş, Zafer; Peker, YaĢar Subutay; Öztürk, Erkan; Menteş, Öner; Görgülü, Semih
- Abstract
INTRODUCTION: Excisional lymph-node-biopsy is currently becoming a must for diagnosis of lymph-node associated systemic disease. The most accessible lymphnode was prefered for excision, however current modality is to excise the most radiologically suspicious one. ROLLguided lymph-node excision is favorable for minimalinvasive- surgery modality. Our purpose is to share our experience about ROLL-guided excision of non-breast axillary lesions that are performed in our clinic. MATERIAL-METHOD: ROLL-guided axillary non-breast related lesions of 33 patients excised between 2008-2013 in our clinic are evaluated retrospectively. RESULTS: Data from 25-female and 8-male patients with an average age of 51.8(21-84) were evaluated. 7/33 patients had history of breast-cancers surgery and had suspicious lymph node(s) located at axilla. Other 26 patients had suspicious lymph node(s) that was detected radiologically without diagnosis. Totally 49 lymph nodes (range:0.4- 4.5cm) were excised. Result of histopathological evaluation was; breast carcinoma metastasis in 4-patients, granulomatous disease in-2 patients, Hodgkin lymphoma in 1-patient, malign melanoma in1- patient, apocrine carcinoma metastasis in 1-patient and reactive lymphadenopathy in 24-patients. CONCLUSION: ROLL method is frequently used to localize and mark lesions, which can‟t be palpated on breast, however it is also used to localize relapsed thyroid carcinomas and parathyroid adenomas. This new application enables us to excise the difficult to localize or radiologically suspicious lymph nodes rapidly by minimal invasive surgery modality resulting less morbidity rates. Consequently, this efficient and easily applicable new method also decreases repeated excisional lymph node biopsies by enabling the selective excision of suspicious lymph node(s).
- Publication
Balkan Military Medical Review, 2013, Vol 16, p124
- ISSN
1107-6275
- Publication type
Article