Specimen radiography as predictor of resection margin status in non-palpable breast lesions

Margin status after breast‐conserving treatment of breast cancer: How much free margin is enough?

“…Therefore different techniques have been developed to evaluate the margins. Specimen radiography is mandatory for resection of nonpalpable tumors and can give valuable information on tumor margins [17,18]. Ultrasound can be used with good results as well [19].…”

Diagnostic Accuracy of Intraoperative Techniques for Margin Assessment in Breast Cancer Surgery

“…7 Re-operation results in greater body trauma, is associated with a higher incidence of post-operative wound complications 8 and leads to a greater volume of excised breast tissue all of which have been linked to impaired cosmetic outcome. 9,10 Anxiety, depression, body image, sexuality and self-esteem correlate with the perception of cosmetic outcome 11 , hence reoperation resulting in poor cosmesis has consequences for psychosexual function. To address the limitations of existing techniques, presently there has been growing interest in the development of novel IMA tools for breast surgery.…”

Influence of Surgical Technique on Mastectomy and Reexcision Rates in Breast-Conserving Therapy for Cancer

“…It requires the placement of a thin wire into the lesion of concern, and although this does facilitate surgical excision, reexcisions are still commonly required [16, 18, 19]. Other techniques, including ultrasound guided hematoma localization [20, 21], seed localization [16, 19, 22, 23], radioguided localization [24–26], intraoperative specimen mammography [27, 28], and intraoperative pathologic margin assessment [29, 30] have also been utilized to ensure complete tumor removal. While success with these approaches has been reported, they universally require additional equipment and they may increase operative time.…”