Experience with Seed Localization for Nonpalpable Breast Lesions in a Public Health Care System
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Seed localization uses a radioactive source to identify nonpalpable breast lesions for excision; it is an emerging alternative to wire localization (WL). Previous single health system studies report decreased rates of re-excision and improved patient convenience with this technique. This study is the first to implement this procedure in a public health care delivery system composed of a primarily minority and low-income population.
Materials and Methods
A multidisciplinary team was formed to create a protocol for breast seed localization (BSL) and monitor the results. After 50 seed localizations were successfully completed, a retrospective matched-pair analysis with patients who had undergone WL during the same period was performed.
Overall experience with the BSL protocol is reviewed, along with the occurrence of a seed loss. Processes necessary to reactivate the BSL protocol and prevent future losses are delineated. BSL is associated with decreased rates of re-excision and can be successfully implemented in a public health care system.
BSL is an attractive alternative to WL in a high-volume, county-based population. It allows increased efficiency in the operating room and has a low rate of complications. Cautionary measures must be taken to ensure proper seed chain of custody to prevent seed loss.
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- Experience with Seed Localization for Nonpalpable Breast Lesions in a Public Health Care System
Annals of Surgical Oncology
Volume 17, Issue 12 , pp 3241-3246
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- 1. Department of Surgery, Division of Surgical Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA
- 2. Department of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA
- 3. Radiation Safety, University of Texas Southwestern Medical Center, Dallas, TX, USA
- 4. Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA