Radioactive seed vs wire localization for nonpalpable breast lesions: A single institution review

2019 ◽  
Vol 25 (2) ◽  
pp. 282-285
Author(s):  
Chelsea R. Horwood ◽  
Valerie Grignol ◽  
Samantha Lahey ◽  
Vishnu Pemmaraju ◽  
Andrew Schafer ◽  
...  
Keyword(s):  
Breast Lesions ◽  
Wire Localization ◽  
Single Institution ◽  
Radioactive Seed ◽  
Nonpalpable Breast Lesions

Radioactive Seed Localization of Nonpalpable Breast Lesions in an Academic Comprehensive Cancer Program Community Hospital Setting

2014 ◽  
Vol 80 (7) ◽  
pp. 675-679 ◽  
Author(s):  
Jeffrey C. Chiu ◽  
Saira Ajmal ◽  
Xiang Zhu ◽  
Elizabeth Griffith ◽  
Tiffany Encarnacion ◽  
...  
Keyword(s):  
Hospital Setting ◽  
Community Setting ◽  
Positive Margin ◽  
Breast Lesions ◽  
Wire Localization ◽  
Accurate Localization ◽  
Radioactive Seed ◽  
The Wire ◽  
Nonpalpable Breast Lesions ◽  
Excision Rate

Wire localized excision (WLE) has been a long-standing method for localization of nonpalpable breast lesions. Disadvantages of this method include difficulty locating the wire tip in relation to borders of the lesion, imprecise placement of the wire, and the need to place the wire shortly before scheduled surgery. These shortcomings may lead to a high positive margin rate requiring re-excision to obtain clear margins for breast cancer. Radioactive seed localized excision (RSLE) of nonpalpable breast lesions has been advocated as a safe and effective alternative to WLE. The primary endpoints of the study were to compare re-excision rates between WLE and RSLE of nonpalpable breast lesions and to determine if there were any differences in volume of tissue removed. One hundred three patients were included in a retrospective review of localized breast excisions done by a single surgeon. Forty-four patients underwent WLE between April 2007 and February 2009. Fifty-nine patients underwent RSLE between September 2009 and January 2012. Margins were considered to be clear if at least 1 mm of normal tissue was obtained from the circumferential periphery of the lesion in question. RSLE resulted in a re-excision rate of 17 versus 55 per cent re-excision rate for wire localization ( P < 0.001). Excision volume was greater for patients having wire localization ( P = 0.074). RSLE is an effective technique for excision of non-palpable breast lesions in the community setting. This technique allows for accurate localization and appears to allow for smaller volume of tissue to be excised.

Radioactive seed localization of nonpalpable breast lesions is better than wire localization

2004 ◽  
Vol 188 (4) ◽  
pp. 377-380 ◽  
Author(s):  
Richard J. Gray ◽  
Barbara A. Pockaj ◽  
Patricia J. Karstaedt ◽  
Michael C. Roarke
Keyword(s):  
Breast Lesions ◽  
Wire Localization ◽  
Seed Localization ◽  
Radioactive Seed Localization ◽  
Radioactive Seed ◽  
Nonpalpable Breast Lesions ◽  
Better Than

Radioactive Seed Localization for Nonpalpable Breast Lesions: Review of 1,000 Consecutive Procedures at a Single Institution

2011 ◽  
Vol 18 (11) ◽  
pp. 3096-3101 ◽  
Author(s):  
Lee J. McGhan ◽  
Sara C. McKeever ◽  
Barbara A. Pockaj ◽  
Nabil Wasif ◽  
Marina E. Giurescu ◽  
...  
Keyword(s):  
Breast Lesions ◽  
Single Institution ◽  
Seed Localization ◽  
Radioactive Seed Localization ◽  
Radioactive Seed ◽  
Nonpalpable Breast Lesions

scholarly journals Radioactive Seed Localization for Nonpalpable Breast Lesions in a Community Hospital Setting

2016 ◽  
Vol 5 (1) ◽  
pp. 25
Author(s):  
James A. Wheeler ◽  
Karlyn Harrod ◽  
Fang Liu ◽  
Elizabeth Garber ◽  
Lisa Grove-Narayan ◽  
...  
Keyword(s):  
Hospital Setting ◽  
Positive Margin ◽  
Breast Lesions ◽  
Extensive Literature ◽  
Small Community ◽  
Positive Margin Rate ◽  
Seed Localization ◽  
Radioactive Seed Localization ◽  
Radioactive Seed ◽  
Nonpalpable Breast Lesions

Purpose: To compare the positive margin rates for women with nonpalpable breast tumors whom had wire localization compared to radioactive seed localization in a small community hospital.Introduction: Wire localized (WL) breast biopsies have been performed on patients with nonpalpable breast lesions for many years. Radioactive seed localization (RSL) offers advantages of patient comfort and scheduling convenience.There is an extensive literature from large centers regarding the RSL technique. Little is known whether physicians performing these procedures in smaller community hospitals can achieve comparable negative margin rates as those performed with wire localization.Methods: The thirty-six patients who underwent wire localized breast conserving surgery between September 18, 2013 and December 10, 2014, were compared to the 48 radioactive seed localization patients resected between February 12, 2014 and December 18, 2014. The primary objective was to determine if the introduction of the radioactive seed localization technique significantly changed the positive margin rate.Results: Two of 36 wire localized breast biopsied patients had positive margins, compared to 5 of 48 radioactive seed localization patients, a difference which is not statistically different. The specimen weight was larger for the patients treated with the RSL technique. There was a trend toward a higher positive margin rate with older patients.Conclusion: The positive margin rate was similar between the wire localized and radioactive seed localized patients, and comparable to those in the published literature.

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