Radioactive Seed Localization Versus Wire Localization for Nonpalpable Breast Lesions: A Two-Year Initial Experience at a Large Community Hospital
| Autor: | Anna M. Higham, Peiyong Qu, Lacey Stelle, Allison Brubaker, Xiwei Tang, Kimberly A. Cradock, Taylor Schoenheit |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Radioactive seed Wire localization medicine.medical_treatment Breast surgery Operative Time Breast Neoplasms Hospitals Community 030230 surgery Mastectomy Segmental 03 medical and health sciences 0302 clinical medicine Fiducial Markers Chart review Carcinoma Medicine Humans Aged Retrospective Studies Radioisotopes business.industry Carcinoma Ductal Breast Margins of Excision Retrospective cohort study Middle Aged medicine.disease Community hospital Tumor Burden Carcinoma Intraductal Noninfiltrating Oncology 030220 oncology & carcinogenesis Lymphatic Metastasis Surgery Female Radiology business Mastectomy |
| Zdroj: | Annals of surgical oncology. 25(1) |
| ISSN: | 1534-4681 |
| Popis: | Radioactive seed localization (RSL) is a safe and effective alternative to wire localization (WL) for nonpalpable breast lesions. While several large academic institutions currently utilize RSL, few community hospitals have adopted this technique. The aim of this study was to examine the experience of RSL versus WL at a large community hospital. A retrospective chart review of patients who underwent RSL or WL for breast-conserving surgery from 1 November 2013 to 31 November 2015. The total number of lesions examined was 382. RSL was utilized in 205 (54%) lesions, with 187 undergoing single RSL, while WL was used in 155 (40%) lesions, with 109 undergoing single WL; both techniques were used in 22 (6%) lesions. Pathology was benign in 142 (48%) lesions, with 93 RSLs and 49 WLs. For malignant lesions, mean specimen size was 36.3 g for single RSL and 35.9 g for single WL (p = 0.904). Re-excision for margin clearance was required for 16 (17%) malignant lesions in the RSL group and 10 (17%) in the WL group (p = 0.954). For malignant lesions, mean operating room time was 86 min for single RSL versus 70 min for single WL (p = 0.014). The use of RSL is a viable option in the community setting, with several benefits over WL. While operative times were slightly longer with RSL, there was no difference in specimen size or re-excision rate for malignant lesions. |
| Databáze: | OpenAIRE |
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