Preoperative localisation techniques in breast conservative surgery: A systematic review and meta-analysis.

Autor: Moreira IC; Faculty of Medicine of the University of Porto Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal; CINTESIS R. Dr. Plácido da Costa, 4200-450 Porto, Portugal; S. João Hospital Center, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal; Porto Health School Rua Dr. António Bernardino de Almeida 400, 4200 - 072, Porto, Portugal. Electronic address: icm@ess.ipp.pt., Ventura SR; Porto Health School Rua Dr. António Bernardino de Almeida 400, 4200 - 072, Porto, Portugal; Center for Rehabilitation Research Rua Dr. António Bernardino de Almeida 400, 4200 - 072, Porto, Portugal. Electronic address: sandra.rua@eu.ipp.pt., Ramos I; Faculty of Medicine of the University of Porto Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal; S. João Hospital Center, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal. Electronic address: radiologia.hsj@gmail.com., Fougo JL; Faculty of Medicine of the University of Porto Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal; S. João Hospital Center, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal. Electronic address: joseluis.fougo@chsj.min-saude.pt., Rodrigues PP; Faculty of Medicine of the University of Porto Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal; CINTESIS R. Dr. Plácido da Costa, 4200-450 Porto, Portugal. Electronic address: pprodrigues@med.up.pt.
Jazyk: angličtina
Zdroj: Surgical oncology [Surg Oncol] 2020 Dec; Vol. 35, pp. 351-373. Date of Electronic Publication: 2020 Sep 16.
DOI: 10.1016/j.suronc.2020.09.004
Abstrakt: The preoperative localisation of non-palpable lesions guided by breast imaging is an important and required procedure for breast-conserving surgery. We conducted a systematic review and meta-analysis of the literature on the comparative impact of different techniques for guided surgical excision of non-palpable breast lesions from reports of clinical or patient-reported outcomes and costs. A literature search of PubMed, ISI, SCOPUS and Cochrane databases was conducted for relevant publications and their references, along with public documents, national and international guidelines, conference proceedings and presentations. From 5720 retrieved articles screened through title and abstract, 5346 were excluded and 374 assessed for full-text eligibility. For data extraction and quality assessment, 49 studies were included. Results of this review demonstrate that Radioactive Seed Localisation (RSL) and Radioactive Occult Lesion Localisation (ROLL) outperform Wire in terms of involved margins and reoperations. Between RSL and ROLL, there is a tendency to favour RSL. Similarly, Clip-guided localisation seems preferred when compared to ROLL, however further studies are needed. In summary, there seems to exist evidence that RSL and ROLL are better than Wire, representing potential alternatives, with a quick learning curve, better scheduling and management issues. Although, for recent techniques, more research is needed in order to achieve the same level of evidence.
(Copyright © 2020 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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