Preoperative localisation techniques in breast conservative surgery: A systematic review and meta-analysis
| Autor: | Sandra M. Rua Ventura, Inês Moreira, José Luis Fougo, Isabel Ramos, Pedro Pereira Rodrigues |
|---|---|
| Přispěvatelé: | Repositório Científico do Instituto Politécnico do Porto |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Breast imaging Radioactive seed Breast surgery medicine.medical_treatment Operative Time Breast Neoplasms Mastectomy Segmental 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Preoperative Care medicine Humans Medical physics Radionuclide Imaging Preoperative localisation Impalpable breast lesions Quality assessment business.industry Margins of Excision Evidence-based medicine Breast conservative surgery Oncology Data extraction Patient Satisfaction 030220 oncology & carcinogenesis Meta-analysis Female Surgery Radiopharmaceuticals business |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP |
| ISSN: | 0960-7404 |
| DOI: | 10.1016/j.suronc.2020.09.004 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect