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Starting a Radioactive Seed Localization Program

  • Breast Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Because of disadvantages, such as the need to perform the localization and operation the same day and difficulty maintaining orientation of the center of the localization in relation to the margins of excision, alternatives to wire localization for surgery of nonpalpable breast lesions have been widely pursued. Radioactive seed localization (RSL) is one technique that has gained acceptance in many practices throughout the world and has been shown to be a safe, effective alternative to wire localization. RSL allows the localization procedure to be scheduled on a different day from the operative procedure, the operative incision to be planned with no regard for the entry point used for localization, and ongoing feedback as to the location of and distance from the lesion throughout the operation. Although RSL is an attractive technique that is intuitive to learn, beginning a new RSL program entails a multidisciplinary effort that includes several challenges. We describe recommendations for how to start a RSL program.

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Authors and Affiliations

  1. Department of Surgery, Mayo Clinic, Rochester, MN, USA

    James Jakub MD, FACS

  2. Department of Surgery, Mayo Clinic, Phoenix, AZ, USA

    Richard Gray MD, FACS

Authors
  1. James Jakub MD, FACS
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  2. Richard Gray MD, FACS
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Correspondence to James Jakub MD, FACS or Richard Gray MD, FACS.

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Jakub, J., Gray, R. Starting a Radioactive Seed Localization Program. Ann Surg Oncol 22, 3197–3202 (2015). https://doi.org/10.1245/s10434-015-4719-5

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  • DOI: https://doi.org/10.1245/s10434-015-4719-5

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