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Annals of Surgical Oncology

, 9:994 | Cite as

Ultrasound-guided lumpectomy of nonpalpable breast cancer versus wire-guided resection: A randomized clinical trial

  • Frans D. Rahusen
  • Andre J. A. Bremers
  • Hans F. J. Fabry
  • A. H. M. Taets van Amerongen
  • Rob P. A. Boom
  • S. MeijerEmail author
Original Articles

Abstract

Background

The wire-guided excision of nonpalpable breast cancer often results in tumor resections with inadequate margins. This prospective, randomized trial was undertaken to investigate whether intraoperative ultrasound (US) guidance enables a better margin clearance than the wire-guided technique in the breast-conserving treatment of nonpalpable breast cancers.

Methods

Patients with a preoperative histological diagnosis of nonpalpable breast cancer that could be visualized both with US and mammography were included. Patients were randomized to undergo either a wire-guided or a US-guided excision. Adequate margins were defined as ≥1 mm.

Results

Of 49 included patients, 23 were assigned to undergo wire-guided excision and 26 to undergo US-guided excision. One patient crossed over to US-guided excision after inadvertent wire displacement. Mean tumor diameter, specimen weight, and operating time were similar in both groups. The excision was adequate in 24 (89%) of 27 US-guided excisions and 12 (55%) of 22 wire-guide excisions (P=.007).

Conclusions

US-guided excision seems to be superior to wire-guided excision with respect to margin clearance of mammographically detected and US-visible nonpalpable breast cancers. Patients do not have to undergo the unpleasant wire placement before surgery.

Key Words

Nonpalpable Mammography Ultrasonography Breast neoplasms Segmental mastectomy Needle biopsy 

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Copyright information

© The Society of Surgical Oncology, Inc 2002

Authors and Affiliations

  • Frans D. Rahusen
    • 1
  • Andre J. A. Bremers
    • 2
  • Hans F. J. Fabry
    • 2
  • A. H. M. Taets van Amerongen
    • 3
  • Rob P. A. Boom
    • 4
  • S. Meijer
    • 2
    Email author
  1. 1.Department of SurgeryMedisch Centrum LeeuwardenLeeuwardenThe Netherlands
  2. 2.Department of Surgical OncologyAmsterdam
  3. 3.Department of RadiologyVrije Universiteit Medical CenterAmsterdamThe Netherlands
  4. 4.Department of SurgeryDistrict General HospitalAmstelveenThe Netherlands

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