Radio-guided occult lesion localization in patients undergoing breast-conserving surgery and sentinel node biopsy

Rönkä, R.; Krogerus, Leena; Leppänen, Esa; Smitten, Karl von; Leidenius, Marjut

doi:10.1016/j.amjsurg.2003.12.040

Cited by 64 publications

(18 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We [16] and others [17][18][19][20][21][22] in similar retrospective studies compared the two techniques. Representative studies are cited in Table 4.…”

Section: Localization Of Nonpalpable Breast Lesionsmentioning

confidence: 99%

Radioguided Localization of Nonpalpable Breast Cancer Lesions: Randomized Comparison With Wire Localization in Patients Undergoing Conservative Surgery and Sentinel Node Biopsy

Martínez

Sola

Tudela

et al. 2009

American Journal of Roentgenology

View full text Add to dashboard Cite

show abstract

“…We [16] and others [17][18][19][20][21][22] in similar retrospective studies compared the two techniques. Representative studies are cited in Table 4.…”

Section: Localization Of Nonpalpable Breast Lesionsmentioning

confidence: 99%

Radioguided Localization of Nonpalpable Breast Cancer Lesions: Randomized Comparison With Wire Localization in Patients Undergoing Conservative Surgery and Sentinel Node Biopsy

Martínez

Sola

Tudela

et al. 2009

American Journal of Roentgenology

View full text Add to dashboard Cite

show abstract

“…25 Some studies of radioguided surgery have found lower positive margin rates and lower reoperation rates compared with WL, 23,26,27 and smaller volumes of excision. 28,29 These potential advantages of RSL over WL may translate into better cosmetic outcomes. Therefore, a study was undertaken to compare the cosmetic outcome of RSL with WL in women with early-stage breast cancer.…”

mentioning

confidence: 99%

A cosmesis outcome substudy in a prospective, randomized trial comparing radioguided seed localization with standard wire localization for nonpalpable, invasive, and in situ breast carcinomas

Parvez

Cornacchi

Hodgson

et al. 2014

The American Journal of Surgery

View full text Add to dashboard Cite

“…Altogether 6 trials have described a significant difference regarding the clear resection margins in favour of the ROLL technique [5][6][7][8][9][10]. 3 studies have found that the excised specimen volume/weight ratio was lower in the ROLL group than in the GWL group [5,9,16]. Several studies have confirmed the well-known advantages of the ROLL method, such as better cosmetic results, less perioperative pain [8,9,16] and shorter localisation time [8-10, 14, 17].…”

Section: Discussionmentioning

confidence: 80%

“…The GWL and the ROLL techniques have been compared only in 11 clinical studies and subjects were randomized only in 4 studies [5][6][7][8][9][10][13][14][15][16]. Altogether 6 trials have described a significant difference regarding the clear resection margins in favour of the ROLL technique [5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Change of attitude in the surgical treatment of early breast cancer

Takács

View full text Add to dashboard Cite

The purpose of this study was to compare the two methods-guidewire localisation and the radioguided occult lesion localisation-used in the localisation and surgical removal of non-palpable breast tumours. This retrospective study enrolled patients diagnosed with nonpalpable malignant breast tumours. In this study either guidewire localisation (GWL, n 069) or radioguided occult lesion localisation (ROLL, n0321) was used for the detection and removal of the tumours. The two methods were compared with regards to preoperative localisation time, operating time, removed specimen volume, the pathological tumour size, the presence of positive surgical margins and postoperative complications. Furthermore, we have also investigated other factors that could have an impact on the frequency of positive resection margins. The localisation time was significantly shorter in the ROLL group, both with ultrasound guidance (5.7±1.44 min vs. 21.6±2.37 min, p00.05) and with radiographic guidance (21.8±3.1 min vs. 41.6±3.75 min, p00.021) as well. No significant difference was observed between the two methods in terms of operating time, removed specimen volume and pathological tumour size, or the presence of positive resection margins, or the occurrence of postoperative wound infections. The size of the tumour (ROLL, GWL grps), the presence of a multifocal tumour (ROLL grp), the presence of an extensive in situ breast carcinoma around the invasive cancer (ROLL, GWL grps) and the volume of the removed breast specimen (GWL grp) significantly increased the frequency of positive resection margins. We recommend the use of the ROLL method for the removal of nonpalpable breast tumours as it has a much shorter localisation time, and it is a simpler surgical technique as well.

show abstract

Radio-guided occult lesion localization in patients undergoing breast-conserving surgery and sentinel node biopsy

Cited by 64 publications

References 13 publications

Radioguided Localization of Nonpalpable Breast Cancer Lesions: Randomized Comparison With Wire Localization in Patients Undergoing Conservative Surgery and Sentinel Node Biopsy

Radioguided Localization of Nonpalpable Breast Cancer Lesions: Randomized Comparison With Wire Localization in Patients Undergoing Conservative Surgery and Sentinel Node Biopsy

A cosmesis outcome substudy in a prospective, randomized trial comparing radioguided seed localization with standard wire localization for nonpalpable, invasive, and in situ breast carcinomas

Change of attitude in the surgical treatment of early breast cancer

Contact Info

Product

Resources

About