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With the purpose to suggest the most appropriate treatment for these situations, Prendiville later proposed the Straight Wire Excision of the Transformation Zone (SWETZ), which is able to remove the TZ located in the endocervix with a possible lower morbidity, lower chance of incomplete removal and of segmentation of the specimen or excessive removal [ 9].
We also included all types of treatment, both ablative (laser ablation, cold coagulation, cryotherapy, or radical diathermy) and excisional (cold knife conisation, LLETZ also known as loop electrosurgical excisional procedure (LEEP), laser conisation, and needle excision of the transformation zone (NETZ also known as straight wire excision of the transformation zone (SWETZ)).
The purpose of this study is to determine whether Straight Wire Excision of the Transformation Zone (SWETZ) is a better alternative than Large Loop Excision of the Transformation Zone (LLETZ-cone) as a type 3 excision of the Transformation Zone (TZ) to reduce incomplete excision and concerning other outcomes of surgical interest.
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Twenty-three patients (74.2%) underwent lumpectomy for palpable masses, and in eight women (25.8%) wire-guided excision of non-palpable tumors was performed.
Two of these patients had wire-guided excisions.
Of 68 therapeutic wire-guided excisions, lesion was accurately detected in SR in 67/68 cases (99%), comparable with the published literature.
All patients with an in situ carcinoma or an invasive carcinoma underwent a hooked wire localized surgical excision.
At present, four different techniques are used to localise the tumour prior to excision: wire-, US -,sound (US)-, carbon- and radio-guided (i.e. guided by a radionuclide) localisation [3 5].
MRI-guided tissue sampling of these "MRI-only lesions" can be accomplished by means of wire localization and surgical excision, vacuum-assisted biopsy, or by large-core-needle biopsy (LCNB) [ 5].
Magnetic resonance-guided tissue sampling of suspicious MRI breast lesions, can be accomplished by fine-needle aspiration, wire localisation followed by surgical excision, large core-needle biopsy (LCNB), or by vacuum-assisted biopsy (VAB) [ 8, 9].
Localised DCIS is treated by wire-guided localisation and wide local excision followed by adjuvant therapy if appropriate.
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