Background: Lumpectomy re-excision to obtain negative margins is common. We compare the effect of two specimen orientation approaches on lumpectomy re-excision rates.
Methods: All women undergoing lumpectomy for breast cancer by a single surgeon between 03/2007 - 02/2009 were included. Lumpectomies underwent standard inking (SI) after surgery by a pathologist from 03/2007-02/2008 while intraoperative inking (II) with direct surgeon input was done from 03/2008-02/2009. Rates of margin positivity and re-excision were compared between these methods.
Results: 65 patients were evaluated, reflecting SI in 39 and II in 26 cases. Margin positivity rates of 46% [SI] vs. 23% [II] (p = 0.06) and re-excision rates of 38% [SI] vs. 19% [II] were observed. Residual disease at re-excision was found in 27% [SI] vs. 67% [II] of cases.
Conclusions: Intraoperative inking in this practice offered a simple way to reduce re-excision rates after lumpectomy and affect an improvement in quality of patient care.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2821385 | PMC |
| http://dx.doi.org/10.1186/1477-7819-8-4 | DOI Listing |
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- More women are being diagnosed with early stage breast cancer because of better screening techniques and public awareness.
- A new device called LOCalizerTM helps doctors accurately find and treat tiny tumors that can’t be felt.
- The study looked at how effective this device is in helping patients have successful surgeries and avoid needing extra operations later.
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