GIOVANNA PANZIRONI

Dottoressa di ricerca

ciclo: XXXIII



Titolo della tesi: Utilizzo della biopsia escissionale vuoto-assistita con ago da 8 Gauge eseguita sotto guida ecografica come metodica innovativa per il trattamento di lesioni mammarie tipizzate istologicamente come B3.

Objectives: To evaluate the feasibility and the therapeutic efficacy of ultrasound-guided vacuum-assisted excision (VAE) for the treatment of selected breast lesions of uncertain malignant potential (B3). Methods: From December 2017 to December 2019, 52 breast lesions were classified as B3 after core needle biopsy, in our Institution. 11 lesions out of 52 (about 21%) were suitable for ultrasound-guided VAE procedure. Inclusion criteria were B3 breast nodule with dimensions between 5 mm and 25 mm, circumscribed margins and localized at least 5 mm from the skin. A radiological follow-up to evaluate the completeness of excision, the presence of post-procedural hematoma or of a residual/recurrence of disease was performed after 10 and 30 days and 6 and 12 months. All patients were asked to complete a satisfaction questionnaire at the end of the procedure. The costs of VAE were also assessed. Results: Complete excision was achieved in 81.8% of VAE, while in 18.2% (2/11 cases) the excision was incomplete with residual disease. No lesions were upgraded to carcinoma after VAE and no patients had to undergo surgery. No significant complications occurred during or after VAE. All the patients were satisfied with the procedure and the cosmetic result (100%). The costs of VAE resulted to be considerably lower than surgery. Conclusion: VAE proved to be an optimal tool for therapeutic excision of selected B3 lesions, with high accuracy and good patient compliance. For this reason, this technique should be considered in the management of specific breast lesions, as it has the potential to reduce unnecessary surgery, consequently decreasing surgery-related complications and healthcare costs.

Produzione scientifica

  • 11573/529948 - 2013 - Prospective evaluation in 123 patients of strain ratio as provided by quantitative elastosonography and multiparametric ultrasound evaluation (ultrasound score) for the characterisation of thyroid nodules. (01a Articolo in rivista)
    CANTISANI, VITO; D'ANDREA, VITO; MANCUSO, ESTER; MAGGINI, ELENA; DI SEGNI, MATTIA; LODISE, PIETRO; REDLER, ADRIANO; PORFIRI, ANDREA; PANZIRONI, GIOVANNA; RICCI, PAOLO
  • 11573/529952 - 2013 - Ultrasound evaluation of liver fibrosis: preliminary experience with acoustic structure quantification (ASQ) software (01a Articolo in rivista)
    RICCI, PAOLO; MARIGLIANO, CHIARA; CANTISANI, VITO; LABBADIA, GIANCARLO; MAGGINI, ELENA; MANCUSO, ESTER; PANZIRONI, GIOVANNA; DI SEGNI, MATTIA; FURLAN, CATERINA; MASCIANGELO, RAFFAELE; TALIANI, GLORIA
  • 11573/1035560 - 2018 - Microcalcification morphological descriptors and parenchyma fractal dimension hierarchically interact in breast cancer: a diagnostic perspective (01a Articolo in rivista)
    VERMA, GARIMA; LUCIANI, MARIA LAURA; PALOMBO, ALESSANDRO; PANZIRONI, GIOVANNA; PEDICONI, FEDERICA; BIZZARRI, MARIANO
  • 11573/529934 - 2013 - A giant hemorragic adrenal pseudocyst: contrast-enhanced examination (CEUS) and computed tomography (CT) features (01a Articolo in rivista)
    CANTISANI, VITO; PETRAMALA, LUIGI; RICCI, PAOLO; PORFIRI, ANDREA; PANZIRONI, GIOVANNA; CIARDI, ANTONIO; DE TOMA, GIORGIO; LETIZIA, CLAUDIO
  • 11573/1212686 - 2019 - Nipple discharge: the state of the art (01g Articolo di rassegna (Review))
    PANZIRONI, GIOVANNA; PEDICONI, FEDERICA; SARDANELLI, FRANCESCO
  • 11573/1248046 - 2018 - Can perilesional edema detected in MRI be considered as a biomarker for breast cancer? Role of FSE T2-weighted IDEAL sequences (04d Abstract in atti di convegno)
    MOFFA, GIULIANA; GALATI, FRANCESCA; MARZOCCA, FLAMINIA; PANZIRONI, GIOVANNA; PEDICONI, FEDERICA
  • 11573/900416 - 2016 - First experience of real-time elastography with transvaginal approach in assessing response to MRgFUS treatment of uterine fibroids (01a Articolo in rivista)
    MARIGLIANO, CHIARA; PANZIRONI, GIOVANNA; MOLISSO, LUISA; PIZZUTO, ALESSANDRA; CIOLINA, FEDERICA; NAPOLI, ALESSANDRO; RICCI, PAOLO
  • 11573/1378794 - 2020 - Peritumoral edema as a biomarker of the aggressiveness of breast cancer: results of a retrospective study on a 3 T scanner (01l Trial clinico)
    PANZIRONI, GIOVANNA; MOFFA, GIULIANA; GALATI, FRANCESCA; MARZOCCA, FLAMINIA; RIZZO, VERONICA; PEDICONI, FEDERICA
  • 11573/1472624 - 2020 - Granular cell tumor of the breast: Tip and tricks on conventional and magnetic resonance imaging (01a Articolo in rivista)
    MOFFA, GIULIANA; GALATI, FRANCESCA; PANZIRONI, GIOVANNA; RIZZO, VERONICA; KRIPA, ENDI; PEDICONI, FEDERICA
  • 11573/1587003 - 2021 - Ultrasound-guided 8-Gauge vacuum-assisted excision for selected B3 breast lesions: a preliminary experience (01a Articolo in rivista)
    PANZIRONI, GIOVANNA; MOFFA, GIULIANA; GALATI, FRANCESCA; PEDICONI, FEDERICA
  • 11573/1654694 - 2022 - Gadoteridol-enhanced MRI of the breast: can contrast agent injection rate impact background parenchymal enhancement? (01a Articolo in rivista)
    MARZOCCA, FLAMINIA; MOFFA, GIULIANA; PANZIRONI, GIOVANNA; PEDICONI, FEDERICA; GALATI, FRANCESCA
  • 11573/1304159 - 2018 - Diagnostic accuracy of breast MRI compared with conventional imaging, in the evaluation of patients with suspicious nipple discharge (01a Articolo in rivista)
    PANZIRONI, GIOVANNA; GALATI, FRANCESCA; MARZOCCA, FLAMINIA; PEDICONI, FEDERICA

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