Radioguided occult lesion localization plus sentinel node biopsy (SNOLL) versus wire-guided localization plus sentinel node detection: A case control study of 129 unifocal pure invasive non-palpable breast cancers

Giacalone, Pierre‐Ludovic; Bourdon, A.; Trinh, P. Do; Taourel, Patrice; Rathat, G.; Sainmont, M.; Perocchia, H.; Rossi, Matteo; Rouleau, Caroline

doi:10.1016/j.ejso.2011.12.003

Cited by 24 publications

(34 citation statements)

References 28 publications

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“…Wire-guided localization is a widely used and relatively simple technique, but some complications may be encountered, such as wire dislodgment, vasovagal episodes, or pneumothorax, and it requires a good compliance from the patient who has to keep in position the wire all the time long before the surgery. Moreover clear margins obtained with wire-guided excision are reported to be 70.8–87.4%, a lower percentage in comparison with those reported with other methods like ROLL or ultrasound-guided in many systematic reviews [37, 41–43, 53]. …”

Section: Discussionmentioning

confidence: 81%

“…It should be also remembered that this technique requires a good compliance from the patient, who has to keep the wire in position all the time long before the surgery. Clear margins obtained with wire-guided excision are reported to be 70.8–87.4% [37, 41–43]. …”

Section: Preoperative Localization Techniquesmentioning

confidence: 99%

“…Another concern with ROLL regards its cost: Medina-Franco et al reported a total cost of $209 (USD) per each procedure versus $132 (USD) with wire-guided excision [53]. Negative margins reported with ROLL range from 75 to 93.5% in some studies [41–43, 51]. …”

Section: Preoperative Localization Techniquesmentioning

confidence: 99%

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Preoperative Localization and Surgical Margins in Conservative Breast Surgery

Corsi

Sorrentino

Bossi

et al. 2013

International Journal of Surgical Oncology

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Breast-conserving surgery (BCS) is the treatment of choice for early breast cancer. The adequacy of surgical margins (SM) is a crucial issue for adjusting the volume of excision and for avoiding local recurrences, although the precise definition of an adequate margins width remains controversial. Moreover, other factors such as the biological behaviour of the tumor and subsequent proper systemic therapies may influence the local recurrence rate (LRR). However, a successful BCS requires preoperative localization techniques or margin assessment techniques. Carbon marking, wire-guided, biopsy clips, radio-guided, ultrasound-guided, frozen section analysis, imprint cytology, and cavity shave margins are commonly used, but from the literature review, no single technique proved to be better among the various ones. Thus, an association of two or more methods could result in a decrease in rates of involved margins. Each institute should adopt its most congenial techniques, based on the senologic equipe experience, skills, and technologies.

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Section: Discussionmentioning

confidence: 81%

Section: Preoperative Localization Techniquesmentioning

confidence: 99%

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Preoperative Localization and Surgical Margins in Conservative Breast Surgery

Corsi

Sorrentino

Bossi

et al. 2013

International Journal of Surgical Oncology

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“…However, WL is associated with large specimen volumes 24 and high re-excision rates, 22 which can lead to poor cosmetic outcomes. RSL was developed to deal with the short comings of WL.…”

Section: Commentsmentioning

confidence: 99%

“…WL is also associated with high rates of positive margins, 20,21 resulting in high reoperation rates. 22,23 Furthermore, WL requires the surgeon to translate a 2-dimensional mammographic image into a 3-dimensional position of the wire within in the breast. 24 Without sufficient prior experience, this can be difficult, and can result in unnecessarily high volumes of normal breast tissue being excised, 24 thereby negatively impacting cosmesis.…”

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

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Magnetic sentinel node and occult lesion localization in breast cancer (MagSNOLL Trial)

Ahmed

Anninga

Goyal

et al. 2015

British Journal of Surgery

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Background: Non-palpable breast cancers require localization-guided surgery and axillary staging using sentinel lymph node biopsy (SLNB). This study investigated the novel technique of magnetic-guided lesion localization and concurrent SLNB, which avoids the need for wire-guided localization and radioisotopes.Methods: An ultrasound-guided intratumoral injection of magnetic tracer (0⋅5 ml) was performed in a protocol-driven predefined minimum of ten patients with palpable breast cancer to assess the ability of the magnetic tracer safely to localize the tumour at the site of injection and concurrently drain to the lymphatics. Once successful lesion localization had been confirmed (peak magnetometer count retained at the centre of the tumour), the technique was undertaken in a further 20 patients with non-palpable breast cancers awaiting wide local excision and SLNB. All patients underwent SLNB with both the magnetic and standard dual (radioisotope and Patent Blue V dye) techniques.Results: Thirty-two patients were recruited, of whom 12 (1 with bilateral disease) presented with palpable and 20 with non-palpable breast cancer. Peak magnetometer counts were retained at the tumour centre in all palpable (13) and non-palpable (20) breast cancers. Re-excisions for involved margins were necessary in two patients with non-palpable breast cancers. The sentinel lymph node identification rates were 28 of 33 procedures for the magnetic technique alone, 32 of 33 for the magnetic technique combined with blue dye, and 32 of 33 for the standard dual technique.Conclusion: Magnetic lesion localization is feasible, with intratumoral magnetic tracer injection combined with a periareolar injection of blue dye for subsequent SNLB. * Other members of the MagSNOLL Trialists Group are co-authors of this study and can be found under the heading Collaborators

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Radioguided occult lesion localization plus sentinel node biopsy (SNOLL) versus wire-guided localization plus sentinel node detection: A case control study of 129 unifocal pure invasive non-palpable breast cancers

Cited by 24 publications

References 28 publications

Preoperative Localization and Surgical Margins in Conservative Breast Surgery

Preoperative Localization and Surgical Margins in Conservative Breast Surgery

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

Magnetic sentinel node and occult lesion localization in breast cancer (MagSNOLL Trial)

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