Minimally invasive breast biopsies:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Berlin [u.a.]
Springer
2009
|
| Series: | Recent results in cancer research
173 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis Klappentext |
| Physical Description: | XII, 225 S. Ill., graph. Darst. |
| ISBN: | 3540314032 9783540314035 |
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MARC
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| 245 | 1 | 0 | |a Minimally invasive breast biopsies |c Renzo Brun del Re (ed.) |
| 264 | 1 | |a Berlin [u.a.] |b Springer |c 2009 | |
| 300 | |a XII, 225 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Recent results in cancer research |v 173 | |
| 650 | 4 | |a Biopsy |x methods | |
| 650 | 4 | |a Breast Neoplasms |x diagnosis | |
| 650 | 4 | |a Breast Neoplasms |x pathology | |
| 650 | 4 | |a Breast |x Needle biopsy | |
| 650 | 4 | |a Surgical Procedures, Minimally Invasive |x methods | |
| 650 | 0 | 7 | |a Mamma |0 (DE-588)4008524-7 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Biopsie |0 (DE-588)4006894-8 |2 gnd |9 rswk-swf |
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| 856 | 4 | 2 | |m Digitalisierung UB Regensburg |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015573597&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |3 Klappentext |
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Record in the Search Index
| _version_ | 1807322149539545088 |
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| adam_text |
1
Documentation
and Correlation of Senologic Findings
. 1
Renzo
Brun
del Re
1.1
Introduction
. 1
1.2
Senometry
. 1
1.2.1
Material
. 1
1.3
Mapping Clinical Findings
. 1
1.4
Mapping
Mammographie
Lesions Smaller than
2
cm
. 3
1.4.1
Mapping the Lesion on the
Mammogram
. 3
1.4.2
Transferring the
Mammographie
Dimensions onto the Breast
. 7
1.5 Intraoperative Senometric
Needle Localization
. 15
1.6
Mapping
Mammographie
Lesions Larger than
2
cm
. 15
1.6.1
Mapping the Lesion on the
Mammogram
. 15
1.6.2
Transferring Dimensions onto the Breast
. 17
1.7
Nonpalpable Lesion Detected by Ultrasound
. 19
1.8
Advantages of Senometry
. 21
References
. 21
2
Comparison of Large-Core Vacuum-Assisted Breast Biopsy
and Excision Systems
. 23
Robin Wilson and Sanjay Kavia
2.1
Introduction
. 23
2.2
Large-Core Biopsy Systems: Overview
. 24
2.2.1
Single Large-Core Biopsy System
. 24
2.2.2
Vacuum-Assisted Mammotomy Systems
. 26
2.3
Indications and Limitations
. 35
2.3.1
Limitations
. 36
2.3.2
Diagnostic Biopsy
. 37
2.3.3
Therapeutic Excision
. 38
2.3.4
Image-Guided Biopsy Technique
. 39
v¡
Contents
2.4
Conclusions
. 40
References
. 40
3
Sonographically Guided Vacuum-Assisted Breast Biopsy Using
Handheld Mammotome
. 43
Luc Steyaert,
Filip
Van Kerkhove, and Jan W. Casselman
3.1
Introduction
. 43
3.2
Equipment
. 43
3.3
Technique
. 48
3.4
Indications
. 67
3.4.1
Probably Benign or Indeterminate Nodular Lesions
. 68
3.4.2
Very Small Suspicious Lesions
. 70
3.4.3
Areas of Localized Attenuation
. 72
3.4.4
Isolated, Complex Fibrocystic Areas
. 73
3.4.5
Papillomas
. 75
3.4.6
Clusters of
Microcalcifications
. 76
3.4.7
Lesions in Difficult Locations
. 82
3.4.8
Very Hard Lesions with Inconclusive Previous Biopsy or FNAC
. 82
3.4.9
Inadequate FNAC or Microbiopsy Results
. 82
3.4.10
Removal of Benign Lesions
. 82
3.4.11
Indications Discussed: Radial Scar, Large Intracystic Lesions
. 83
3.4.12
Other Indications
. 85
3.5
Processing the Cores
. 85
3.6
Needle Size
. 88
3.7
Clip Placement
. 90
3.8
US Versus
Mammographie
Guidance
. 90
3.9
Results
. 92
References
. 93
4
The Vacora Biopsy System
. 97
R. Schulz-Wendtland
4.1
Introduction
. 97
4.2
Technique
. 97
4.3
Indications and Contraindications
. 98
4.3.1
US-Guided Transcutaneous Vacuum Biopsy
. 98
4.3.2
Stereotactic Vacuum Biopsy
. 101
4.3.3
MRI-Guided Vacuum Biopsy
. 101
4.4
Side Effects
. 101
4.5
Results
. 101
4.6
Limitations
. 102
4.7
PracticalHints
. 102
References
. 102
Contents
vii
5
Available Stereotactic Systems for Breast Biopsy
. 105
Ossi
R.
Köchli
5.1
Introduction
. 105
5.1.1
Prone Position Techniques
. 105
5.1.2
Upright Systems
. 109
5.2
Cost of the Systems
. 112
5.3
Cost of the Procedures
. 112
References
. 113
6
MRI-Guided Minimally Invasive Breast Procedures
. 115
Harald
Marcel Bonel
6.1
Introduction: Role of MR Mammography
. 115
6.1.1
Indications
. 116
6.1.2
Technique and Practical Tips
. 117
6.1.3
Limitations
. 126
6.2
Conclusion
. 128
References
. 128
7
Ductoscopyoflntraductal
Neoplasia
of the Breast
. 129
Michael Hiinerbein, Matthias Raubach, Y. Y. Dai, and Peter M.
Schlag
7.1
Introduction
. 129
7.2
Methods for Sampling Intraductal Breast Cells
. 129
7.2.1
Technique of Ductoscopy
. 130
7.2.2
Ductoscopic Biopsy
. 132
7.2.3
Ductoscopy in Women with Nipple Discharge
. 132
7.2.4
Ductoscopy in Breast Cancer
. 133
7.3
Summary
. 134
References
. 134
8
Pathology of Breast Tissue Obtained in Minimally Invasive
Biopsy Procedures
. 137
Gad Singer and Sylvia Stadlmann
8.1
Introduction
. 137
8.2
Pathology of Breast Disease in Minimally Invasive Biopsies
. 137
8.3
Benign Epithelial Lesions
. 138
8.3.1
Periductal Mastitis
. 138
8.3.2
Fibrocystic Change
. 138
8.3.3
Sclerosing Adenosis
. 139
8.3.4
Columnar Cell Lesions
. 140
8.3.5
Usual-Type Epithelial Hyperplasia
. 140
8.3.6
Lobular
Neoplasia.
141
viii
Contents
8.4
Fibroepithelial
Lesions
. 142
8.4.1
Fibroadenoma
. 142
8.4.2
Phyllodes
Tumor
. 143
8.4.3
Benign Papillary Lesions
. 143
8.5
Malignant Noninvasive Lesions
. 144
8.6
Invasive Carcinoma
. 145
8.7
Grading of Breast Carcinoma
. 146
8.8
Predictive Factors in MIBS
. 147
References
. 147
9
Limitations of Minimally Invasive Breast Biopsy
. 149
Mathias
К.
Fehr
9.1
Technical Failures
. 149
9.2
Underestimation of Breast Pathology on Minimally
Invasive Breast Biopsy Specimens
. 149
References
. 155
10
Advances in Breast Imaging: A Dilemma or Progress?
. 159
Daniel
Flöry,
Michael W. Fuchsjaeger, Christian
F. Weisman,
and Thomas H. Helbich
10.1
Introduction
. 159
10.2
Ultrasound
. 159
10.2.1
Multiplanar Display Mode
. 161
10.2.2
Niche Mode View
. 161
10.2.3
Surface Mode
. 161
10.2.4
Transparency Mode
. 161
10.2.5
Static
3D
Volume Contrast Imaging
. 162
10.2.6
4D Volume Contrast Imaging
. 162
10.2.7
Inversion Mode
. 163
10.2.8
Volume Calculation
. 163
10.2.9 Tomographie
Ultrasound Imaging
. 163
10.2.10
Glass Body Rendering
. 164
10.2.11
Power
Doppler,
Color
Doppler,
and High-Definition Flow
. 164
10.2.12
Extended View Documentation
. 165
10.2.13
Conclusion
. 167
10.3
Magnetic Resonance Imaging
. 167
10.3.1
1.5-Tesla Systems and Gadopentetate
. 167
10.3.2
3.0-Tesla Systems
. 168
10.3.3
Macromolecular Contrast Agents
. 168
10.3.4
Tumor-Specific Contrast Agents
. 170
10.3.5
Functional Breast Imaging Techniques (Spectroscopy,
Diffusion-Weighted Imaging)
. 171
Contents
¡x
10.4 Positron Emission
Tomography
. 172
10.4.1
Imaging of Cellular Proliferation and Apoptosis
. 172
10.4.2
Receptor Imaging
. 173
10.5
Optical Imaging
. 173
10.5.1
Imaging of Hemoglobin
. 174
10.5.2
CTLM Device
. 174
10.5.3
Optical Imaging of Extrinsic Contrast Agents
. 175
10.6
Electrical Impedance Scanning
. 176
10.6.1
Targeted
EIS
with
TransScan TS2000. 177
10.6.2
Screening
EIS
with
Т-ЅсапгОООЕО
. 179
10.7
Conclusion
. 180
References
. 180
11
Cost-Benefit Analyses
. 183
Renzo
Bran del Re and
Regula
E.
Bürki
11.1
Introduction
. 183
11.2
Frequency of Mammography
. 183
11.3
Recall Rate
. 184
11.3.1
Recall Rate in Screening Programs
. 184
11.3.2
Recall Rate Outside of Screening Programs
. 185
11.4
Distribution of Further Investigations
. 185
11.4.1
Open (Surgical) Biopsy
. 185
11.4.2
Substitution of Open Biopsies
. 185
.4.3
Substitution of Other Diagnostic Procedures
. 186
.5
Trends and Scenarios
. 187
.6
Comparison of Costs
. 187
.6.1
Costs and Savings
. 189
.7
Decision Makers Have Changed
. 190
1
1
1
1
1
11.8
Conclusions
. 192
References
. 192
12
Systematic Review and Meta-analysis of Recent Data
. 195
Renzo
Bran del Re and
Regula
E. Bürki
12.1
Evidence for the Clinical Relevance of Minimally Invasive
Breast Biopsy
. 195
12.1.1
Older Systematic Reviews
. 195
12.2
Literature Search Methods
. 195
12.2.1
Evidence on Performance
. 195
12.2.2
Evidence on Risks and Safety
. 197
12.2.3
Presentation and Analysis of the Data
. 197
12.3
Presentation and Analysis of the Data
. 200
12.3.1
Evidence Used
. 200
12.3.2
Results
. 207
Contents
12.4
Safety of
MIBB. 212
12.4.1
Open Biopsy as Gold Standard
. 212
12.4.2
Fourteen-G Core Biopsies and 11-G Vacuum-Assisted Biopsies
. 212
12.4.3
Conclusions on the Safety of MIBB
. 215
12.5
Quality of Life (HRQoL)
. 215
12.6
Summary and Discussion of the MIBB Data Presented
. 217
12.7
Conclusions
. 220
References
. 222
Modern
imaging methods have made it possible to detect breast cancer at an ear¬
lier stage than in the past. Nevertheless, when screening is performed regularly
over a
ίο
-year period,
20%
of examined women will present a suspicious find¬
ing that subsequently proves to be benign. Accordingly, beyond cancer detection
an important goal is the identification of benign lesions in a manner that is reli¬
able, tissue sparing, patient friendly, and cost-effective. More than
70%
of breast
biopsies can now be performed using minimally invasive procedures that meet
these criteria. Against this background, it can be concluded that a mammography
screening programme without the possibility of minimally invasive biopsies is nei¬
ther ethically nor economically justifiable.
This book examines in detail the diverse minimally invasive diagnostic techniques
that may be employed when imaging yields suspicious findings. These include
vacuum-assisted minimally invasive breast biopsy systems (ATEC, EnCor, Intact,
Mammotome and Vacora), stereotactic systems, MRI-guided procedures, and
ductoscopy. Further chapters are devoted to the pathology of the breast tissue ob¬
tained using these procedures, their limitations, the implications of recent advanc¬
es in breast imaging, and the results of cost-benefit analyses. The closing chapter
provides a systematic review and meta-analysis of recent data. |
| adam_txt |
1
Documentation
and Correlation of Senologic Findings
. 1
Renzo
Brun
del Re
1.1
Introduction
. 1
1.2
Senometry
. 1
1.2.1
Material
. 1
1.3
Mapping Clinical Findings
. 1
1.4
Mapping
Mammographie
Lesions Smaller than
2
cm
. 3
1.4.1
Mapping the Lesion on the
Mammogram
. 3
1.4.2
Transferring the
Mammographie
Dimensions onto the Breast
. 7
1.5 Intraoperative Senometric
Needle Localization
. 15
1.6
Mapping
Mammographie
Lesions Larger than
2
cm
. 15
1.6.1
Mapping the Lesion on the
Mammogram
. 15
1.6.2
Transferring Dimensions onto the Breast
. 17
1.7
Nonpalpable Lesion Detected by Ultrasound
. 19
1.8
Advantages of Senometry
. 21
References
. 21
2
Comparison of Large-Core Vacuum-Assisted Breast Biopsy
and Excision Systems
. 23
Robin Wilson and Sanjay Kavia
2.1
Introduction
. 23
2.2
Large-Core Biopsy Systems: Overview
. 24
2.2.1
Single Large-Core Biopsy System
. 24
2.2.2
Vacuum-Assisted Mammotomy Systems
. 26
2.3
Indications and Limitations
. 35
2.3.1
Limitations
. 36
2.3.2
Diagnostic Biopsy
. 37
2.3.3
Therapeutic Excision
. 38
2.3.4
Image-Guided Biopsy Technique
. 39
v¡
Contents
2.4
Conclusions
. 40
References
. 40
3
Sonographically Guided Vacuum-Assisted Breast Biopsy Using
Handheld Mammotome
. 43
Luc Steyaert,
Filip
Van Kerkhove, and Jan W. Casselman
3.1
Introduction
. 43
3.2
Equipment
. 43
3.3
Technique
. 48
3.4
Indications
. 67
3.4.1
Probably Benign or Indeterminate Nodular Lesions
. 68
3.4.2
Very Small Suspicious Lesions
. 70
3.4.3
Areas of Localized Attenuation
. 72
3.4.4
Isolated, Complex Fibrocystic Areas
. 73
3.4.5
Papillomas
. 75
3.4.6
Clusters of
Microcalcifications
. 76
3.4.7
Lesions in Difficult Locations
. 82
3.4.8
Very Hard Lesions with Inconclusive Previous Biopsy or FNAC
. 82
3.4.9
Inadequate FNAC or Microbiopsy Results
. 82
3.4.10
Removal of Benign Lesions
. 82
3.4.11
Indications Discussed: Radial Scar, Large Intracystic Lesions
. 83
3.4.12
Other Indications
. 85
3.5
Processing the Cores
. 85
3.6
Needle Size
. 88
3.7
Clip Placement
. 90
3.8
US Versus
Mammographie
Guidance
. 90
3.9
Results
. 92
References
. 93
4
The Vacora Biopsy System
. 97
R. Schulz-Wendtland
4.1
Introduction
. 97
4.2
Technique
. 97
4.3
Indications and Contraindications
. 98
4.3.1
US-Guided Transcutaneous Vacuum Biopsy
. 98
4.3.2
Stereotactic Vacuum Biopsy
. 101
4.3.3
MRI-Guided Vacuum Biopsy
. 101
4.4
Side Effects
. 101
4.5
Results
. 101
4.6
Limitations
. 102
4.7
PracticalHints
. 102
References
. 102
Contents
vii
5
Available Stereotactic Systems for Breast Biopsy
. 105
Ossi
R.
Köchli
5.1
Introduction
. 105
5.1.1
Prone Position Techniques
. 105
5.1.2
Upright Systems
. 109
5.2
Cost of the Systems
. 112
5.3
Cost of the Procedures
. 112
References
. 113
6
MRI-Guided Minimally Invasive Breast Procedures
. 115
Harald
Marcel Bonel
6.1
Introduction: Role of MR Mammography
. 115
6.1.1
Indications
. 116
6.1.2
Technique and Practical Tips
. 117
6.1.3
Limitations
. 126
6.2
Conclusion
. 128
References
. 128
7
Ductoscopyoflntraductal
Neoplasia
of the Breast
. 129
Michael Hiinerbein, Matthias Raubach, Y. Y. Dai, and Peter M.
Schlag
7.1
Introduction
. 129
7.2
Methods for Sampling Intraductal Breast Cells
. 129
7.2.1
Technique of Ductoscopy
. 130
7.2.2
Ductoscopic Biopsy
. 132
7.2.3
Ductoscopy in Women with Nipple Discharge
. 132
7.2.4
Ductoscopy in Breast Cancer
. 133
7.3
Summary
. 134
References
. 134
8
Pathology of Breast Tissue Obtained in Minimally Invasive
Biopsy Procedures
. 137
Gad Singer and Sylvia Stadlmann
8.1
Introduction
. 137
8.2
Pathology of Breast Disease in Minimally Invasive Biopsies
. 137
8.3
Benign Epithelial Lesions
. 138
8.3.1
Periductal Mastitis
. 138
8.3.2
Fibrocystic Change
. 138
8.3.3
Sclerosing Adenosis
. 139
8.3.4
Columnar Cell Lesions
. 140
8.3.5
Usual-Type Epithelial Hyperplasia
. 140
8.3.6
Lobular
Neoplasia.
141
viii
Contents
8.4
Fibroepithelial
Lesions
. 142
8.4.1
Fibroadenoma
. 142
8.4.2
Phyllodes
Tumor
. 143
8.4.3
Benign Papillary Lesions
. 143
8.5
Malignant Noninvasive Lesions
. 144
8.6
Invasive Carcinoma
. 145
8.7
Grading of Breast Carcinoma
. 146
8.8
Predictive Factors in MIBS
. 147
References
. 147
9
Limitations of Minimally Invasive Breast Biopsy
. 149
Mathias
К.
Fehr
9.1
Technical Failures
. 149
9.2
Underestimation of Breast Pathology on Minimally
Invasive Breast Biopsy Specimens
. 149
References
. 155
10
Advances in Breast Imaging: A Dilemma or Progress?
. 159
Daniel
Flöry,
Michael W. Fuchsjaeger, Christian
F. Weisman,
and Thomas H. Helbich
10.1
Introduction
. 159
10.2
Ultrasound
. 159
10.2.1
Multiplanar Display Mode
. 161
10.2.2
Niche Mode View
. 161
10.2.3
Surface Mode
. 161
10.2.4
Transparency Mode
. 161
10.2.5
Static
3D
Volume Contrast Imaging
. 162
10.2.6
4D Volume Contrast Imaging
. 162
10.2.7
Inversion Mode
. 163
10.2.8
Volume Calculation
. 163
10.2.9 Tomographie
Ultrasound Imaging
. 163
10.2.10
Glass Body Rendering
. 164
10.2.11
Power
Doppler,
Color
Doppler,
and High-Definition Flow
. 164
10.2.12
Extended View Documentation
. 165
10.2.13
Conclusion
. 167
10.3
Magnetic Resonance Imaging
. 167
10.3.1
1.5-Tesla Systems and Gadopentetate
. 167
10.3.2
3.0-Tesla Systems
. 168
10.3.3
Macromolecular Contrast Agents
. 168
10.3.4
Tumor-Specific Contrast Agents
. 170
10.3.5
Functional Breast Imaging Techniques (Spectroscopy,
Diffusion-Weighted Imaging)
. 171
Contents
¡x
10.4 Positron Emission
Tomography
. 172
10.4.1
Imaging of Cellular Proliferation and Apoptosis
. 172
10.4.2
Receptor Imaging
. 173
10.5
Optical Imaging
. 173
10.5.1
Imaging of Hemoglobin
. 174
10.5.2
CTLM Device
. 174
10.5.3
Optical Imaging of Extrinsic Contrast Agents
. 175
10.6
Electrical Impedance Scanning
. 176
10.6.1
Targeted
EIS
with
TransScan TS2000. 177
10.6.2
Screening
EIS
with
Т-ЅсапгОООЕО
. 179
10.7
Conclusion
. 180
References
. 180
11
Cost-Benefit Analyses
. 183
Renzo
Bran del Re and
Regula
E.
Bürki
11.1
Introduction
. 183
11.2
Frequency of Mammography
. 183
11.3
Recall Rate
. 184
11.3.1
Recall Rate in Screening Programs
. 184
11.3.2
Recall Rate Outside of Screening Programs
. 185
11.4
Distribution of Further Investigations
. 185
11.4.1
Open (Surgical) Biopsy
. 185
11.4.2
Substitution of Open Biopsies
. 185
.4.3
Substitution of Other Diagnostic Procedures
. 186
.5
Trends and Scenarios
. 187
.6
Comparison of Costs
. 187
.6.1
Costs and Savings
. 189
.7
Decision Makers Have Changed
. 190
1
1
1
1
1
11.8
Conclusions
. 192
References
. 192
12
Systematic Review and Meta-analysis of Recent Data
. 195
Renzo
Bran del Re and
Regula
E. Bürki
12.1
Evidence for the Clinical Relevance of Minimally Invasive
Breast Biopsy
. 195
12.1.1
Older Systematic Reviews
. 195
12.2
Literature Search Methods
. 195
12.2.1
Evidence on Performance
. 195
12.2.2
Evidence on Risks and Safety
. 197
12.2.3
Presentation and Analysis of the Data
. 197
12.3
Presentation and Analysis of the Data
. 200
12.3.1
Evidence Used
. 200
12.3.2
Results
. 207
Contents
12.4
Safety of
MIBB. 212
12.4.1
Open Biopsy as Gold Standard
. 212
12.4.2
Fourteen-G Core Biopsies and 11-G Vacuum-Assisted Biopsies
. 212
12.4.3
Conclusions on the Safety of MIBB
. 215
12.5
Quality of Life (HRQoL)
. 215
12.6
Summary and Discussion of the MIBB Data Presented
. 217
12.7
Conclusions
. 220
References
. 222
Modern
imaging methods have made it possible to detect breast cancer at an ear¬
lier stage than in the past. Nevertheless, when screening is performed regularly
over a
ίο
-year period,
20%
of examined women will present a suspicious find¬
ing that subsequently proves to be benign. Accordingly, beyond cancer detection
an important goal is the identification of benign lesions in a manner that is reli¬
able, tissue sparing, patient friendly, and cost-effective. More than
70%
of breast
biopsies can now be performed using minimally invasive procedures that meet
these criteria. Against this background, it can be concluded that a mammography
screening programme without the possibility of minimally invasive biopsies is nei¬
ther ethically nor economically justifiable.
This book examines in detail the diverse minimally invasive diagnostic techniques
that may be employed when imaging yields suspicious findings. These include
vacuum-assisted minimally invasive breast biopsy systems (ATEC, EnCor, Intact,
Mammotome and Vacora), stereotactic systems, MRI-guided procedures, and
ductoscopy. Further chapters are devoted to the pathology of the breast tissue ob¬
tained using these procedures, their limitations, the implications of recent advanc¬
es in breast imaging, and the results of cost-benefit analyses. The closing chapter
provides a systematic review and meta-analysis of recent data. |
| any_adam_object | 1 |
| any_adam_object_boolean | 1 |
| author_GND | (DE-588)139601759 |
| building | Verbundindex |
| bvnumber | BV022364308 |
| callnumber-first | R - Medicine |
| callnumber-label | RC261 |
| callnumber-raw | RC261 |
| callnumber-search | RC261 |
| callnumber-sort | RC 3261 |
| callnumber-subject | RC - Internal Medicine |
| classification_rvk | XG 8361 XH 8461 |
| ctrlnum | (OCoLC)465224109 (DE-599)BVBBV022364308 |
| dewey-full | 618.190758 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 618 - Gynecology, obstetrics, pediatrics, geriatrics |
| dewey-raw | 618.190758 |
| dewey-search | 618.190758 |
| dewey-sort | 3618.190758 |
| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| discipline_str_mv | Medizin |
| format | Book |
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| genre_facet | Aufsatzsammlung |
| id | DE-604.BV022364308 |
| illustrated | Illustrated |
| index_date | 2024-07-02T17:04:37Z |
| indexdate | 2024-08-14T00:51:55Z |
| institution | BVB |
| isbn | 3540314032 9783540314035 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-015573597 |
| oclc_num | 465224109 |
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| owner | DE-355 DE-BY-UBR DE-29 DE-19 DE-BY-UBM DE-12 |
| owner_facet | DE-355 DE-BY-UBR DE-29 DE-19 DE-BY-UBM DE-12 |
| physical | XII, 225 S. Ill., graph. Darst. |
| publishDate | 2009 |
| publishDateSearch | 2009 |
| publishDateSort | 2009 |
| publisher | Springer |
| record_format | marc |
| series | Recent results in cancer research |
| series2 | Recent results in cancer research |
| spelling | Minimally invasive breast biopsies Renzo Brun del Re (ed.) Berlin [u.a.] Springer 2009 XII, 225 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Recent results in cancer research 173 Biopsy methods Breast Neoplasms diagnosis Breast Neoplasms pathology Breast Needle biopsy Surgical Procedures, Minimally Invasive methods Mamma (DE-588)4008524-7 gnd rswk-swf Biopsie (DE-588)4006894-8 gnd rswk-swf Brustkrebs (DE-588)4008528-4 gnd rswk-swf Krankheit (DE-588)4032844-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Mamma (DE-588)4008524-7 s Krankheit (DE-588)4032844-2 s DE-604 Brustkrebs (DE-588)4008528-4 s Biopsie (DE-588)4006894-8 s Brun del Re, Renzo Sonstige (DE-588)139601759 oth Erscheint auch als Online-Ausgabe 978-3-540-31611-4 Recent results in cancer research 173 (DE-604)BV000000043 173 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015573597&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015573597&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Minimally invasive breast biopsies Recent results in cancer research Biopsy methods Breast Neoplasms diagnosis Breast Neoplasms pathology Breast Needle biopsy Surgical Procedures, Minimally Invasive methods Mamma (DE-588)4008524-7 gnd Biopsie (DE-588)4006894-8 gnd Brustkrebs (DE-588)4008528-4 gnd Krankheit (DE-588)4032844-2 gnd |
| subject_GND | (DE-588)4008524-7 (DE-588)4006894-8 (DE-588)4008528-4 (DE-588)4032844-2 (DE-588)4143413-4 |
| title | Minimally invasive breast biopsies |
| title_auth | Minimally invasive breast biopsies |
| title_exact_search | Minimally invasive breast biopsies |
| title_exact_search_txtP | Minimally invasive breast biopsies |
| title_full | Minimally invasive breast biopsies Renzo Brun del Re (ed.) |
| title_fullStr | Minimally invasive breast biopsies Renzo Brun del Re (ed.) |
| title_full_unstemmed | Minimally invasive breast biopsies Renzo Brun del Re (ed.) |
| title_short | Minimally invasive breast biopsies |
| title_sort | minimally invasive breast biopsies |
| topic | Biopsy methods Breast Neoplasms diagnosis Breast Neoplasms pathology Breast Needle biopsy Surgical Procedures, Minimally Invasive methods Mamma (DE-588)4008524-7 gnd Biopsie (DE-588)4006894-8 gnd Brustkrebs (DE-588)4008528-4 gnd Krankheit (DE-588)4032844-2 gnd |
| topic_facet | Biopsy methods Breast Neoplasms diagnosis Breast Neoplasms pathology Breast Needle biopsy Surgical Procedures, Minimally Invasive methods Mamma Biopsie Brustkrebs Krankheit Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015573597&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015573597&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV000000043 |
| work_keys_str_mv | AT brundelrerenzo minimallyinvasivebreastbiopsies |