Background: Achieving clear margins with adequate resection volumes is one of the principal goals of breast-conserving surgery. The aim of our study was to compare preoperative localization using 2 different clips, radiopaque or sonographically visible, to reach this goal.
Methods: We reviewed 209 consecutive nonpalpable breast cancers that were treated with lumpectomy: 59 with radiopaque and 150 with sonographically visible clip positioned during biopsy procedure. In the former case, preoperative localization was performed with mammography and in the latter by ultrasonography.
Results: Clear margins were achieved in 80.4% of patients: 57.6% in the first and 89.3% in the second group (P < .0001; odds ratio, 7.6; 95% confidence interval, 3.4 to 17.2). By using sonographically visible clips, the re-excision rate has decreased from 42.4% to 10.7%, (P < .0001), and resections resulted smaller with average calculated resection ratio of 3.54 vs. 5.08 (P = .03).
Conclusions: Preoperative localization using a sonographically visible clip allows a more tailored breast-conserving surgery and reduces the re-excision rate.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.amjsurg.2014.07.010 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Three-dimensional sonographic findings of diprosopus: a case report and literature review.
BMC Pregnancy Childbirth
January 2025
Department of Obstetric and Gynecological Ultrasound, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Background: Diprosopus is one of the rarest anomalies. It typically manifests as bilateral alterations and often involves anomalies within the cranial structures. In this report, we present a case of a fetus with diprosopus diagnosed prenatally.
View Article and Find Full Text PDFBeyond the ink: Marking the skin with henna through ultrasound gel.
Clin Imaging
January 2025
Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States of America.
Purpose: To evaluate henna as a durable skin marker on various skin tones for sonographic targeting and to identify the shortest duration of henna application needed for practical clinical workflow.
Materials And Methods: Prospective study applying seven henna lines through ultrasound (US) gel on the forearms of 15 healthy participants equally represented across the validated six-color bar tool. Color bar categories 1-2, 3-4, and 5-6 were designated low, moderate, and high-melanin groups, respectively.
Ultrasound Contrast Agent Needle Priming: Impact on Sonographic Biopsy Needle Visibility in a Porcine Liver Model.
Cardiovasc Intervent Radiol
December 2024
University Centre for Research & Development Department of Pharmaceutical Sciences, Chandigarh University Gharuan, Mohali, Punjab, India.
Visible Human Project based applications can prompt integrating cross-sectional anatomy into the medical school curriculum when combined with radiological modalities: A three-year cross-sectional observational study.
Ann Anat
January 2025
Department of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, Prague 150 06, Czech Republic; Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, V Uvalu 84, Prague 150 06, Czech Republic.
Background: Cross-sectional anatomy is a challenging yet a vital foundation to clinical practice. The traditional teachings of gross anatomy cadaveric dissections do not cover adequate training of recognizing anatomical structures on CT, MRI and sonographic cross-sections. New modern technologies are emerging as teaching tools in anatomy aiming to deliver visual interactive experience.
View Article and Find Full Text PDFIntraoperative visualization of cerebral aneurysms using navigated 3D-ultrasound power-Doppler angiography.
Acta Neurochir (Wien)
October 2024
Clinical Neuroscience Research Unit, Department of Neurosurgery, Faculty of Medicine of Comenius University and University Hospital Bratislava, Bratislava, Slovakia.
Article Synopsis
- * Out of 86 surgeries, 3D-US successfully visualized 80% of aneurysms, especially those located at the middle cerebral artery (MCA), where visibility reached 86.4%.
- * The results suggest that while most aneurysms can be seen using this technology, further research with a larger sample is necessary to validate these findings and assess their clinical significance.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!