J Breast Cancer.
2021 Jun;24(3):349-355. 10.4048/jbc.2021.24.e14.
Usefulness of 3-Dimensional-Printed Breast Surgical Guides for Undetectable Ductal Carcinoma In Situ on Ultrasonography: A Report of 2 Cases
- Affiliations
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- 1Department of Breast Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
- 2Division of Breast Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 3Biomedical Engineering Research Center, Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea
- 4Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia
- 5Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- KMID: 2517348
- DOI: http://doi.org/10.4048/jbc.2021.24.e14
Abstract
- Tumor localization is challenging in the context of ductal carcinoma in situ (DCIS) treated with breast-conserving surgery. Conventional localization methods are generally performed under the guidance of ultrasonography or mammography and are rarely performed with magnetic resonance imaging (MRI), which is more sensitive than the aforementioned modalities in detecting DCIS. Here, we report the application of MRI-based individualized 3-dimensional (3D)-printed breast surgical guides (BSGs) for patients with breast cancer. We successfully resected indeterminate and suspicious lesions that were only detected using preoperative MRI, and the final histopathologic results confirmed DCIS with clear resection margins. MRI guidance combined with 3D-printed BSGs can be used for DCIS localization, especially for lesions easily detectable using MRI only.
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