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1Current status of ultrasound-guided surgery in the treatment of breast cancer显示文摘The primary goal of breast-conserving surgery(BCS) is to obtain tumour-free resection margins. Margins positive or focally positive for tumour cells are associated with a high risk of local recurrence, and in the case of tumour-positive margins, re-excision or even mastectomy are sometimes needed to achieve definite clear margins. Unfortunately, tumour-involved margins and re-excisions after lumpectomy are still reported in up to 40% of patients and additionally, unnecessary large excision volumes are described. A secondary goal of BCS is the cosmetic outcome and one of the main determinants of worse cosmetic outcome is a large excision volume. Up to 30% of unsatisfied cosm-etic outcome is reported. Therefore, the search for better surgical techniques to improve margin status, excision volume and consequently, cosmetic outcome has continued. Nowadays, the most commonly used localization methods for BCS of non-palpable breast cancers are wire-guided localization(WGL) and radioguided localization(RGL). WGL and RGL are invasive procedures that need to be performed pre-operatively with technical and scheduling difficulties. For palpable breast cancer, tumour excision is usually guided by tactile skills of the surgeon performing 'blind' surgery. One of the surgical techniques pursuing the aims of radicality and small excision volumes includes intraoperative ultrasound(IOUS). The best evidence available demonstrates benefits of IOUS with a significantly high proportion of negative margins compared with other localization techniques in palpable and non-palpable breast cancer. Additionally, IOUS is non-invasive, easy to learn and can centralize the tumour in the excised specimen with low amount of healthy breast tissuebeing excised. This could lead to better cosmetic results of BCS. Despite the advantages of IOUS, only a small amount of surgeons are performing this technique. This review aims to highlight the position of ultrasoundguided surgery for malignant breast tumours in the search for better oncological and cosmetic outcomes.José H Volders Max H Haloua Nicole MA Krekel Sybren Meijer Petrousjka M van den Tol 2016World Journal of Clinical Oncology2016,7,1:6
2Identification of a novel structural protein of arterivimses 显示文摘Snijder E J Tol H V Pedersen K W 1999J Virol1999,73,8:1
3Lactobacillus rhamnosus induces peripheral hypore- sponsiveness in stimulated CD4 T cells via modula- tion of dendritic cell function 显示文摘BRAAT H VAN DEN BRANDE J VAN TOL E 2004The American Jour- nal of Clinical Nutrition2004,80,6:1
4Non-structural proteins 2 and 3 interact to modify host cell membranes during the formation of the arterivirus replication complex 显示文摘Snijder EJ van Tol H Roos N et ol 2001J Gen Virol2001,82,5:1
5Improving the dimensioning of piping networks and network layouts in low-energy district heating systems connected to low-energy buildings:A case study in Roskilde,Denmark显示文摘Tol H I Svendsen S 2011Heat Transfer Engineering2011,38,1:1
6Non-structural proteins 2 and 3 interact to modify host cell membranes during the formation of the arterivirus replication complex显示文摘SNIJDER E J VAN TOL H ROOS N 2001J Gen Virol2001,82,:1
7Magnetoelectric Properities of Ferroelectric Rare Earth Molybdates 显示文摘Wiegelmann H Ponomarev B K Van Tol J 1996Ferroelectrics1996,183,:1
8Imatinib mesylate (STI571) is a substrate for the breast cancer resistance protein (BCRP)/ABCG2 drug pump显示文摘Burger H van Tol H Boersma AW 2004Blood2004,104,9:1
9Setting future standards for KRAS testing in colorectal cancer显示文摘van Krieken H Tol J 2009Pharmacogenomics2009,10,:1
10Escherichia coli antibodies in opsonisation and protection against infection显示文摘van Dijk WC Verhoef H van Eme-van der Tol ME 1981Journal of Medical Microbiology1981,14,4:1
11The damage costs of climate change towards a dynamicrepresentation显示文摘Tol H S J 1996Ecological Economics1996,19,1:1
12The arterivirus replicase is the only viral protein required for genome replication and subgenomic mRNA transcription显示文摘Molenkamp R van Tol H Rozier B C 2000J Gen Virol2000,81,:1
13Undemanding Long- term Energy Use and Carbon Dioxide Emissions in the USA 显示文摘Tol R S J Paeala S W Soeolow R H 2009Journal ofPoliey Modeling2009,31,3:1
14Improving the dimensioning of piping net-worics and network layouts in low - energy district heating systemsconnected to low - energy buildings: a case study in Roskilde,Denmark显示文摘Tol H I Svendsen S 2011Heat Transfer En^neering2011,,1:1
15Identification of a no vel structural protein of arteriviruses显示文摘Snijder E J Tol H Pedersen K W 1999Virol1999,73,4:1
16Identification of a novel structura: protein of arteriviruses显示文摘Snijder E J Tol H Pedersen K W 1999Virol- ogy1999,73,4:1
17Hepatic lipase and lipoprotein lipase are not major determinants of the low density lipoprotein subclass pattern in human subjects with coronary heat disease显示文摘Jansen H Hop W Van Tol A 1994Atherosclerosis1994,107,1:1
18Imatinib mesylate(STI571) is a substrate for the breast cancer resistance protein(BCRP)/ABCG2 drug pump显示文摘Burger H van Tol H Boersma AW 2004Blood2004,104,9:1
19Differences in early lin- eage segregation between mammals显示文摘Kuijk EW Du Puy L Van Tol H 2008Dev Dyn2008,237,:1
20Effects of follicular cells and FSH on the resumption of meiosis is in equine oocytes matured in vitro显示文摘TREMOLEDA J I THARANIT T VAN TOL H T 2003Reproduction2003,125,4:1
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