Radioguided occult lesion localisation (ROLL) for excision of non-palpable breast lesions, a personal experience in a multifocal breast cancer patient

Background: Breast conservation therapy (BCT) is the standard of care for early stage breast cancer. The procedure can be a challenge for the surgeon if the lesion is non-palpable. For excision of non-palpable breast lesions, they should be localized precisely before surgery. We can use different techniques such as WGL (Wire Guided Localization), ROLL (Radioguided occult lesion localization), etc. Some centers consider ROLL as gold standard technique for excision of non-palpable breast lesions. Case presentation: A 44 years old woman with multifocal breast cancer presented to the breast clinic. Her imaging including MRI scan confirmed the presence of three tumours in the left breast and malignant looking nodes in the left axilla. Under ultrasound scan guidance Core Needle biopsy (CNB) of the breast lesions and Fine needle aspiration (FNA) of two lymph nodes in left axilla was performed. Pathology of all three masses confirmed Invasive Ductal Carcinoma(IDC) and FNA of Lymph nodes were suspicious for malignancy. She was treated with breast conserving surgery with ROLL technique. All three tumours were excised with good margin and axillary lymph node dissection was performed. Cosmetic result was satisfactory. Conclusion: Roll technique is simple to do and has several advantages compared to WGL. We would recommend this procedure especially in multifocal non-palpable lesions

کلیدواژه ها:

Breast cancer ، Multifocal ، non-palpable ، ROLL (Radioguided occult lesion localization) ، Breast conservation therapy (BCT) ، WGL (Wire Guided Localization)