BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY M.G.Pacquola, ,F.Millo F.Millo, ,F.Pasquali F.Pasquali, ,C.Ambroggi C.Ambroggi, ,T.Dallocchio T.Dallocchio,F.Tava* ,F.Tava* M.G.Pacquola Breast Unit Unit ASL AL P.O. Tortona ASL AL P.O. Tortona Breast *S.O.C. Anatomia patologica ASL AL P.O. Novi ligure *S.O.C. Anatomia patologica ASL AL P.O. Novi ligure This Breast Breast Unit Unit is is eighteen eighteen years years old and old and works works in a in a This geographic area area with with a a hight hight incidence incidence of of breast breast geographic cancer. . cancer Every year year it it menages menages about about one one hundred hundred and and fifty fifty Every new cases cases. . new A strong attention attention to to the the scientific scientific and and technological technological A strong up to to date date is is considered considered necessary necessary. . up
BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY Background : : for for a long time a long time Surgery Surgery has has been been Background used to to make make both both diagnosis diagnosis and and therapy therapy. . used � The The technical technical and and scientific scientific improvements improvements allow allow � to reduce the reduce the role role of of Surgery Surgery during during the the to diagnostic phase phase. . diagnostic � This This is is very very important important in in particular particular in in presence presence � of mammographic mammographic screening program. screening program. of
BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY Material Method Method: : since since 2005 2005 we we have have added added Material the sistem sistem VAB VAB to to the the traditional traditional the diagnostic tools tools in the case of in the case of diagnostic � cluster cluster of of microcalcifications microcalcifications, , � � asimmetric asimmetric opacity opacity, , � � heterogeneous heterogeneous lesions lesions identified identified by by � B- -RAD3/U3 B RAD3/U3 B- -RAD3/U4 RAD3/U4 B
BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY RESULTS: in 2012 : in 2012 RESULTS 315 surgical surgical procedures procedures were were performed performed 315 18 cases cases (5.7%) (5.7%) need need surgery surgery because because of of 18 discrepancies between between instrumental instrumental tests tests discrepancies � in 2011, 302 in 2011, 302 surgical surgical procedures procedures � � 29 29 cases cases (10%) (10%) need need surgery surgery because because of of � discrepancies between between instrumental instrumental tests tests discrepancies
BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY Surgical treatment treatment is is performed performed for for Surgical breast cancer cancer, , breast � � lesions at at risk risk of of degeneration degeneration (LIN2 (LIN2 – – DIN1b), DIN1b), lesions � � papillary lesions lesions, , papillary � � the fast fast- -growing growing fibroadenomas fibroadenomas, , the � � the galattophoritis galattophoritis the � �
BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY CONCLUSION: the : the traditional traditional diagnosis diagnosis CONCLUSION procedures accompanied accompanied by by the VAB the VAB procedures system allow allow in in our our experience experience to to achieve achieve system two main main objectives objectives two � 1) 1) proper proper diagnosis diagnosis of of benign benign deseases deseases) ) � � 2) 2) diagnosis diagnosis of of cancer cancer at the at the earliest earliest stage stage � With this this multidisciplinary multidisciplinary approach approach also also the the With cost effectifnes effectifnes is is adequate adequate cost
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