Radioactive Seed Localization Versus Wire Localization for Nonpalpable Breast Lesions: A Two-Year Initial Experience at a Large Community Hospital.

Abstract:

BACKGROUND: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. OBJECTIVE:The aim of this study was to examine the experience of RSL versus WL at a large community hospital. METHODS:A retrospective chart review of patients who underwent RSL or WL for breast-conserving surgery from 1 November 2013 to 31 November 2015. RESULTS: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). CONCLUSIONS: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.

journal_name

Ann Surg Oncol

authors

Stelle L,Schoenheit T,Brubaker A,Tang X,Qu P,Cradock K,Higham A

doi

10.1245/s10434-017-6102-1

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

131-136

issue

1

eissn

1068-9265

issn

1534-4681

pii

10.1245/s10434-017-6102-1

journal_volume

25

pub_type

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