| Autor: |
Joshua A. Feinberg, Deborah Axelrod, Amber Guth, Leonel Maldonado, Farbod Darvishian, Nakisa Pourkey, Jenny Goodgal, Freya Schnabel |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Expert review of medical devices. 19(10) |
| ISSN: |
1745-2422 |
| Popis: |
In patients with non-palpable breast cancer, the availability of wireless localization techniques facilitates removal of the target lesion. One such technique uses a radar reflector for localization (RRL). This study evaluates the feasibility and effectiveness of RRL to guide excision of axillary lymph nodes in patients with node-positive breast cancer.Our Breast Cancer Database was queried for patients diagnosed with breast cancer, between 5/2017 and 10/2021, who underwent preoperative placement of a radar reflector into a biopsy proven axillary lymph node. Clinicopathologic data were reported using descriptive statistics.Twenty patients underwent preoperative placement of a radar reflector into the axilla. Intraoperatively, the clip and radar reflector were successfully removed in all patients. Among the 10 patients treated with NAC, 5 patients achieved an axillary pathologic complete response (pCR) and were spared a complete axillary lymph node dissection (cALND). Among the entire cohort, RRL resulted in a 53% reduction in the number of lymph nodes removed.Wireless localization of axillary lymph nodes is safe and feasible. The technique ensures excision of biopsy proven positive axillary lymph nodes and enables a targeted approach to assessing the axilla, both in the setting of NAC and upfront surgery. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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