Sonographic Hematoma-Guided vs Wire-Localized Lumpectomy for Breast Cancer

Rahman, Rakhshanda Layeequr; Iuanow, Elaine; Crawford, Sybil L.; Quinlan, Robert M.

doi:10.1001/archsurg.142.4.343

Cited by 16 publications

(4 citation statements)

References 24 publications

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“…Intraoperative sonography may be more effective in localization of breast tumors and in obtaining clear surgical margins than other localization methods . An added benefit of intraoperative sonography is that time can be saved by verification of the presence of the tumor or sonographically detectable clip in the surgical specimen on the operating table in real time, instead of relying on a specimen radiograph when the tumor is detectable mammographically or waiting for a specimen sonogram from a radiologist.…”

Section: Discussionmentioning

confidence: 99%

“…Clips can mark the site of a lesion diagnosed by vacuum‐assisted biopsy, a procedure that may entirely remove the lesion, making localization for surgery or follow‐up difficult. In such cases, localization according to the site of hematoma is a possibility . However, the frequently large size of the hematoma and its disappearance over time may cause difficulties in tumor localization.…”

mentioning

confidence: 99%

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Detectability of Hygroscopic Clips Used in Breast Cancer Surgery

Carmon

Olsha

Gekhtman

et al. 2016

J of Ultrasound Medicine

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Sonographically detectable clips were introduced over the last decade. We retrospectively studied the rate and duration of sonographically detectable clip detectability in patients with breast cancer who had sonographically detectable clips inserted over a 2-year period. Nine of 26 patients had neoadjuvant chemotherapy, with all clips remaining detectable 140 to 187 days after insertion. Six of the 9 had intraoperative sonographic localization, with 1 reoperation (17%). Eleven additional patients with nonpalpable tumors and sonographically detectable clips had intraoperative sonographic localization with 1 reoperation (9%). In 1 patient, a sonographically detectable clip enabled intraoperative identification of a suspicious lymph node. There were no complications or clip migration. Sonographically detectable clips are helpful in breast cancer surgery with and without neoadjuvant chemotherapy, remaining detectable for many months and often averting preoperative localization and scheduling difficulties.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Detectability of Hygroscopic Clips Used in Breast Cancer Surgery

Carmon

Olsha

Gekhtman

et al. 2016

J of Ultrasound Medicine

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“…Needle or wire localization of an image abnormality is the most common method for directing the surgeon to the target lesion. Other techniques that have been developed are direct ultrasound guidance, hematoma-directed excision, 7 and radioguided occult lesion localization. 8 Because these techniques are all performed as a variant of the needle localization biopsy, we focus here on this more common technique.…”

Section: Image Localization Biopsymentioning

confidence: 99%

Surgical Biopsy

Prier¹

2011

Early Diagnosis and Treatment of Cancer Series: Breast Cancer

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“…The main factor determining the cosmetic result is resection volume. If it is larger than 50–85 cm 3 , the cosmetic result is purposeful to be a failure [ 7 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

Intraoperative ultrasound reduces the need for re-excision in breast-conserving surgery

et al. 2015

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BackgroundThe purpose of this study was to evaluate ultrasound-guided surgery for palpable breast cancer by comparing the standard palpation-guided surgery in terms of the extent of healthy breast tissue resection, the percentage of tumor-free margins, and cosmetic outcomes.MethodsThis was a prospective, observational cohort study conducted from January 2009 to July 2011. Breast cancer patients, diagnosed via biopsy, were operated in guidance with either ultrasound or palpation. Patient demographics, tumor features, intraoperative findings, pathologic and cosmetic results, intraoperative-measured ultrasound margins, and pathology margins were compared.ResultsUltrasound (US)-guided lumpectomy was performed on 84 women and palpation-guided lumpectomy on 80 women. Patient demographics and tumor characteristics showed no differences. The rate of re-excision was 17 % for the palpation-guided surgery group, and 6 % for the US-guided group (p = 0.03). There was good correlation between the closest margins recorded by US and pathology margins (r = 0.76, p = 0.01). Volume of resection was significantly larger in the palpation-guided group despite the similar size of tumors (p = 0.048). Cosmetic outcome of surgery was equivalent between groups.ConclusionsIntraoperative ultrasound guidance for excision of palpable breast cancers is feasible and gives results in terms of pathologic margins that are comparable with those achieved by standard palpation-guided excisions.

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Sonographic Hematoma-Guided vs Wire-Localized Lumpectomy for Breast Cancer

Cited by 16 publications

References 24 publications

Detectability of Hygroscopic Clips Used in Breast Cancer Surgery

Detectability of Hygroscopic Clips Used in Breast Cancer Surgery

Surgical Biopsy

Intraoperative ultrasound reduces the need for re-excision in breast-conserving surgery

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