BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS - - PowerPoint PPT Presentation

BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY

M.G.Pacquola M.G.Pacquola, ,F.Millo F.Millo, ,F.Pasquali F.Pasquali, ,C.Ambroggi C.Ambroggi, ,T.Dallocchio T.Dallocchio,F.Tava* ,F.Tava* Breast Breast Unit Unit ASL AL P.O. Tortona ASL AL P.O. Tortona *S.O.C. Anatomia patologica ASL AL P.O. Novi ligure *S.O.C. Anatomia patologica ASL AL P.O. Novi ligure

This This Breast Breast Unit Unit is is eighteen eighteen years years old and

• ld and works

works in a in a geographic geographic area area with with a a hight hight incidence incidence of

• f breast

breast cancer cancer. . Every Every year year it it menages menages about about one

• ne hundred

hundred and and fifty fifty new new cases cases. . A strong A strong attention attention to to the the scientific scientific and and technological technological up up to to date date is is considered considered necessary necessary. .

BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY Background Background: : for for a long time a long time Surgery Surgery has has been been used used to to make make both both diagnosis diagnosis and and therapy therapy. .

• The

The technical technical and and scientific scientific improvements improvements allow allow to to reduce the reduce the role role of

• f Surgery

Surgery during during the the diagnostic diagnostic phase phase. .

• This

This is is very very important important in in particular particular in in presence presence

• f
• f mammographic

mammographic screening program. screening program.

BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY

Material Material Method Method: : since since 2005 2005 we we have have added added the the sistem sistem VAB VAB to to the the traditional traditional diagnostic diagnostic tools tools in the case of in the case of

• cluster

cluster of

• f microcalcifications

microcalcifications, ,

• asimmetric

asimmetric opacity

• pacity,

,

• heterogeneous

heterogeneous lesions lesions identified identified by by B B-

• RAD3/U3 B

RAD3/U3 B-

• RAD3/U4

RAD3/U4

BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY

RESULTS RESULTS: in 2012 : in 2012 315 315 surgical surgical procedures procedures were were performed performed 18 18 cases cases (5.7%) (5.7%) need need surgery surgery because because of

• f

discrepancies discrepancies between between instrumental instrumental tests tests

• in 2011, 302

in 2011, 302 surgical surgical procedures procedures

• 29

29 cases cases (10%) (10%) need need surgery surgery because because of

• f

discrepancies discrepancies between between instrumental instrumental tests tests

BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY Surgical Surgical treatment treatment is is performed performed for for

• breast

breast cancer cancer, ,

• lesions

lesions at at risk risk of

• f degeneration

degeneration (LIN2 (LIN2 – – DIN1b), DIN1b),

• papillary

papillary lesions lesions, ,

• the

the fast fast-

• growing

growing fibroadenomas fibroadenomas, ,

• the

the galattophoritis galattophoritis

BREAST CANCER:DIAGNOSIS WITHOUT SURGERY BREAST CANCER:DIAGNOSIS WITHOUT SURGERY

CONCLUSION CONCLUSION: the : the traditional traditional diagnosis diagnosis procedures procedures accompanied accompanied by by the VAB the VAB system system allow allow in in our

• ur experience

experience to to achieve achieve two two main main objectives

• bjectives
• 1)

1) proper proper diagnosis diagnosis of

• f benign

benign deseases deseases) )

• 2)

2) diagnosis diagnosis of

• f cancer

cancer at the at the earliest earliest stage stage With With this this multidisciplinary multidisciplinary approach approach also also the the cost cost effectifnes effectifnes is is adequate adequate