title: [Combined diagnosis in breast carcinoma: preoperative role of mammoscintigraphy with Tc99m-sestamibi. Our Experience].
abstract: The Authors, taking recent literature on tumoral pathology breast studies in to consideration, studied a group of patients with a node or a suspect adenous zone by clinical and instrumental examination with mammoscintigraphy. 22 patients were selected by clinical examination, mammography and ultrasonography. A mammoscintigraphy (Tc 99m Sestamibi) was performed before the surgical operation. The histologic examination revealed 14 cases of breast cancer; 12 of these (86%) resulted positive after scintigraphy, while 2 were false negative. In this study, the scintigraphic exam and its diagnostic accuracy were analyzed, both in relation to anatomical structure of the mammary gland (thick breast, fibrocystic mastopathy, postsurgical scars, etc.) and also in relation to characteristics of the suspected node, the nature of which was not possible to determine from other exams carried out. In conclusion, after comparison between our experience and those reported in literature, we conclude that because of its high specificity and sensibility the mammoscintigraphy exam assumes an important comparative index in obtaining elements for an additional evaluation when other instrumental examinations are dubious.
authors.affiliation: Istituto Policattedra di Metodologia Clinica e Terapie Chirurgiche, Cattedra di Medicina Nucleare, Università degli Studi di Messina.
authors.forename: A
authors.initials: A
authors.lastname: Versaci
authors.forename: G R
authors.initials: GR
authors.lastname: Pecorella
authors.forename: A
authors.initials: A
authors.lastname: Macrì
authors.forename: G
authors.initials: G
authors.lastname: Scuderi
authors.forename: L G
authors.initials: LG
authors.lastname: Angiò
authors.forename: M
authors.initials: M
authors.lastname: Terranova
authors.forename: G
authors.initials: G
authors.lastname: Leonello
authors.forename: G
authors.initials: G
authors.lastname: Speciale
authors.forename: S
authors.initials: S
authors.lastname: Baldari
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
chemical_list: D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi
vernacular_title: Diagnostica integrata nel carcinoma della mammella: il ruolo prechirurgico della mammoscintigrafia con Tc 99m-sestamibi. Nostra esperienza.