{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T02:36:30Z","timestamp":1649039790043},"reference-count":13,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2014,6,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>Az eml\u0151diagnosztika fejl\u0151d\u00e9se, a sz\u0171r\u0151vizsg\u00e1latok elterjed\u00e9se miatt egyre gyakrabban ker\u00fclnek felfedez\u00e9sre nem tapinthat\u00f3 eml\u0151daganatok. Az elm\u00falt \u00f6t \u00e9vben 830 eml\u0151m\u0171t\u00e9t kapcs\u00e1n szerzett tapasztalatainkr\u00f3l sz\u00e1molunk be. A praeoperativ pontos diagnosztika (mammographia, eml\u0151-ultrahangvizsg\u00e1lat, MRI, aspirati\u00f3s cytologia, core-biopsia, vacuumassziszt\u00e1lt core-biopsia) sor\u00e1n igazolt eml\u0151daganat, valamint malignit\u00e1sgyan\u00fa (microcalcificatio, szerkezeti torzul\u00e1s) miatt v\u00e9gzett m\u0171t\u00e9tek sor\u00e1n az el\u0151zetes jel\u00f6l\u00e9s ut\u00e1ni excisio kiemelked\u0151 jelent\u0151s\u00e9g\u0171v\u00e9 v\u00e1lt. Retrospekt\u00edv feldolgoz\u00e1s sor\u00e1n meg\u00e1llap\u00edtottuk, hogy az eml\u0151m\u0171t\u00e9tek 36,9%-a ma m\u00e1r \u00fagynevezett nem tapinthat\u00f3 elv\u00e1ltoz\u00e1s miatt t\u00f6rt\u00e9nik. A nem tapinthat\u00f3 elv\u00e1ltoz\u00e1sok eset\u00e9n is t\u00f6reksz\u00fcnk pontos praeoperativ hisztol\u00f3giai mintav\u00e9tel elv\u00e9gz\u00e9s\u00e9re, amely seg\u00edti a korrekt m\u0171t\u00e9ti terv fel\u00e1ll\u00edt\u00e1s\u00e1t. Anyagunkban nem tapinthat\u00f3 elv\u00e1ltoz\u00e1s eset\u00e9n az elv\u00e1ltoz\u00e1sok 78%-\u00e1ban siker\u00fclt biztos sz\u00f6vettani diagn\u00f3zishoz jutni. Vacuumassziszt\u00e1lt core-biopsia megjelen\u00e9s\u00e9vel kevesebb lett az indetermin\u00e1lt k\u00e9pletek miatti seb\u00e9szeti beavatkoz\u00e1s. V\u00e1rhat\u00f3an a k\u00e9s\u0151bb benignusnak bizonyul\u00f3 elv\u00e1ltoz\u00e1sok miatt elv\u00e9gzett excisi\u00f3k sz\u00e1ma tov\u00e1bbi cs\u00f6kken\u00e9st fog mutatni. A resecti\u00f3s sz\u00e9lek intraoperativ radiol\u00f3giai vizsg\u00e1lata seg\u00edti a definit\u00edv m\u0171t\u00e9t v\u00e9gz\u00e9s\u00e9t. Specimen-mammographia, specimen-ultrahangvizsg\u00e1lat a mindennapi gyakorlatunk r\u00e9sz\u00e9t k\u00e9pezi. V\u00e9gleges sz\u00f6vettani vizsg\u00e1lat ut\u00e1n kiemelked\u0151 jelent\u0151s\u00e9g\u0171 a megfelel\u0151 \u00e9p resecti\u00f3s sz\u00e9l megl\u00e9te, amelynek hi\u00e1nya eset\u00e9n reexcisi\u00f3t, sz\u00fcks\u00e9g eset\u00e9n a m\u0171t\u00e9t kiterjeszt\u00e9s\u00e9t tartjuk indokoltnak. A seb\u00e9szi resecti\u00f3s sz\u00e9l el\u00e9gtelens\u00e9ge miatt mintegy 5,5%-ban v\u00e9gezt\u00fcnk reoper\u00e1ci\u00f3t. T<jats:sub>1<\/jats:sub> tumorm\u00e9ret eset\u00e9n, illetve a T<jats:sub>2<\/jats:sub> tumornagys\u00e1g\u00fa esetek nagy r\u00e9sz\u00e9ben sentinelnyirokcsom\u00f3-vizsg\u00e1latot v\u00e9gz\u00fcnk, hogy a felesleges axillaris blokkdissecti\u00f3t elker\u00fclj\u00fck.<\/jats:p>","DOI":"10.1556\/maseb.67.2014.3.2","type":"journal-article","created":{"date-parts":[[2014,5,30]],"date-time":"2014-05-30T01:02:27Z","timestamp":1401411747000},"page":"89-93","source":"Crossref","is-referenced-by-count":0,"title":["Nem tapinthat\u00f3 eml\u0151daganatok m\u0171t\u00e9ti kezel\u00e9s\u00e9vel szerzett tapasztalataink"],"prefix":"10.1556","volume":"67","author":[{"given":"Zolt\u00e1n","family":"Farsang","sequence":"first","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, 1134, Budapest, R\u00f3bert K\u00e1roly krt. 44."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1d\u00e1m","family":"Nagygy\u00f6rgy","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, 1134, Budapest, R\u00f3bert K\u00e1roly krt. 44."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Horv\u00e1th","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, 1134, Budapest, R\u00f3bert K\u00e1roly krt. 44."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsuzsanna","family":"Barany\u00e1k","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, 1134, Budapest, R\u00f3bert K\u00e1roly krt. 44."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Forrai","sequence":"additional","affiliation":[{"name":"2 Radiol\u00f3giai Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Riedl","sequence":"additional","affiliation":[{"name":"2 Radiol\u00f3giai Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9va","family":"Cserepes","sequence":"additional","affiliation":[{"name":"2 Radiol\u00f3giai Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne","family":"Benedek","sequence":"additional","affiliation":[{"name":"2 Radiol\u00f3giai Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boldizs\u00e1r","family":"Bakity","sequence":"additional","affiliation":[{"name":"1 Seb\u00e9szeti Oszt\u00e1ly, Magyar Honv\u00e9ds\u00e9g Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zpont, 1134, Budapest, R\u00f3bert K\u00e1roly krt. 44."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","first-page":"36","article-title":"Szeml\u00e9letv\u00e1ltoz\u00e1s az eml\u0151daganatok kezel\u00e9s\u00e9ben","volume":"1","author":"Rah\u00f3ty P","year":"1996","journal-title":"H\u00e1ziorvos Tov\u00e1bbk\u00e9pz\u0151 Szemle"},{"key":"2","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1001\/archsurg.1992.01420040034005","article-title":"Technical details of intraoperative lymphatic mapping for early stage melanoma","volume":"127","author":"Morton DL","year":"1992","journal-title":"Arch Surg"},{"key":"3","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1556\/MOnkol.54.2010.3.4","article-title":"Az eml\u0151r\u00e1k korszer\u0171 seb\u00e9szi kezel\u00e9se","volume":"54","author":"L\u00e1z\u00e1r Gy","year":"2010","journal-title":"Magy Onkol"},{"key":"4","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1556\/MaSeb.63.2010.3.7","article-title":"Az eml\u0151r\u00e1k korszer\u0171 seb\u00e9szi kezel\u00e9se \u2013 II. 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