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用于乳房肿瘤切除术的反射器引导乳房肿瘤定位与金属丝定位:手术结果比较

Reflector-guided breast tumor localization versus wire localization for lumpectomies: A comparison of surgical outcomes.

作者信息

Patel Sejal N, Mango Victoria L, Jadeja Priya, Friedlander Lauren, Desperito Elise, Wynn Ralph, Feldman Sheldon, Ha Richard

机构信息

Columbia University Medical Center, Herbert Irving Pavilion, 161 Fort Washington Ave., 10th Floor, New York, NY 10032, United States.

Memorial Sloan Kettering Cancer Center, 300 East 66th Street, New York, NY 10065, United States.

出版信息

Clin Imaging. 2018 Jan-Feb;47:14-17. doi: 10.1016/j.clinimag.2017.07.020. Epub 2017 Aug 1.

DOI:10.1016/j.clinimag.2017.07.020
PMID:28818762
Abstract

PURPOSE

To compare surgical outcomes of SAVI SCOUT reflector localization (SSL) versus wire localization (WL) for breast tumors.

METHODS

Retrospective review of 42 SSL cases and 42 WL cases. WL patients were consecutively matched for clinical-pathologic features. Final surgical outcome measures were tumor specimen volume, margin status, and re-excision rates.

RESULTS

No significant differences were present in median specimen volumes (SSL-15.2cm vs. WL-16.3cm), positive margin rate (SSL-9.5% vs. WL-7.1%), close margin rate (SSL-7.1% vs. WL-11.9%) or re-excision rate (SSL-7.1% vs. WL-9.5%).

CONCLUSION

SSL is an acceptable alternative to WL with no significant differences in surgical outcomes.

摘要

目的

比较SAVI SCOUT反射器定位(SSL)与钢丝定位(WL)用于乳腺肿瘤的手术效果。

方法

回顾性分析42例SSL病例和42例WL病例。WL患者按临床病理特征连续匹配。最终手术效果指标为肿瘤标本体积、切缘状态和再次切除率。

结果

中位标本体积(SSL为15.2cm,WL为16.3cm)、切缘阳性率(SSL为9.5%,WL为7.1%)、切缘接近率(SSL为7.1%,WL为11.9%)或再次切除率(SSL为7.1%,WL为9.5%)方面均无显著差异。

结论

SSL是WL的一种可接受的替代方法,手术效果无显著差异。

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