Radioactive seed localization for breast conservation surgery: Low positive margin rate with no learning curve - 22/11/17
, Nabil Wasif , Barbara A. Pockaj , Richard J. Gray ⁎ Abstract |
Background |
Radioactive seed localization (RSL) is an alternative to wire localization. We compared the rate of positive margins for evidence of a learning curve in implementing RSL.
Methods |
A retrospective review of RSL by three surgeons at a single institution from 2002 to 2016. Positive margins were defined as ink on tumor.
Results |
Surgeon experience with RSL for ranged from 142 to >500 cases. The positive margin rate among the first 100 of each surgeons' experience (n = 300) was 2.3% and the rate during the most recent up to 100 cases after experience with at least 100 RSL procedures (n = 242) was 4.1% (p = 0.32). Individual surgeon's positive margin rates ranged from 2 to 5% in the early experience and 2–7% in the later experience (p = NS).
Conclusions |
RSL for breast conservation surgery has a low rate of positive margins even early in a surgeon's experience. Implementation of RSL can be done with no evidence of a learning curve.
Le texte complet de cet article est disponible en PDF.Keywords : Seed localization, Learning curve, Breast conserving therapy, Positive margin
Plan
Vol 214 - N° 6
P. 1091-1093 - décembre 2017 Retour au numéro
Article précédent
- Discussion of: “Does lymph node status influence adjuvant therapy decision-making in women 70 years of age or older with clinically node negative hormone receptor positive breast cancer?”
- Anees B. Chagpar, Nina Horowitz, Tara Sanft, Lynn D. Wilson, Andrea Silber, Brigid Killelea, Meena S. Moran, Michael P. DiGiovanna, Erin Hofstatter, Gina Chung, Lajos Pusztai, Donald R. Lannin
- Discussion of: “Radioactive seed localization for breast conservation surgery: Low positive margin rate with no learning curve”
- Cristine S. Velazco, Nabil Wasif, Barbara A. Pockaj, Richard J. Gray
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