Intra-operative digital specimen radiology reduces re-operation rates in therapeutic mammaplasty for breast cancer. Issue 5 (October 2015)

• Record Type: Journal Article
• Authors: Majdak-Paredes, E.J.; Schaverien, M.V.; Szychta, P.; Raine, C.; Dixon, J.M.
• Is Part Of: Breast. Volume 24:Issue 5(2015)
• Page Start: 556
• Page End: 559
• Publication Date: 2015-10
• Subjects: Breast -- Diseases -- Periodicals; Breast -- Tumors -- Periodicals; Breast -- Periodicals; Electronic journals; Periodicals; 616
• DOI: 10.1016/j.breast.2015.04.007
• Languages: English
• ISSNs: 0960-9776

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Background</title> <p id="abspara0010">The aim of this study was to evaluate our experience with intra-operative imaging of therapeutic mammaplasty specimens at Edinburgh Breast Unit.</p> </sec> <sec> <title id="sectitle0020">Methods</title> <p id="abspara0015">A retrospective review was performed of patients who underwent therapeutic mammaplasty in Edinburgh Breast Unit between 2007 and 2013 who had intraoperative specimen radiography.</p> </sec> <sec> <title id="sectitle0025">Results</title> <p id="abspara0020">98 (100%) patients who underwent therapeutic mammaplasty for breast cancer had intra-operative imaging using the faxitron<sup>®</sup> system. 3 out of those 97 (3%) patients had a re-operation because of positive margins confirmed pathologically on cavity excision specimens, but only 1 out of 3 (1%) patients had residual breast cancer present within the re-excision specimen. None required mastectomy. Median age was 58 (range 34–81). Median follow up was 3.1 years (range 6 months – 5.5 years). There was no local recurrence or conversion to mastectomy in this group.</p> </sec> <sec> <title id="sectitle0030">Conclusion</title> <p id="abspara0025">Complete excision rate in patients who had intra-operative imaging during therapeutic mammaplsty procedure was 97% in our group. Faxitron<sup>®</sup> system is a useful adjunct in helping to achieve low incomplete excision rates.</p> </sec> </abstract>