The effect of multiple wire localization in breast conservation

Michelle M. Fillion, Emily Anne Black, Kathleen B. Hudson, Garnetta Morin-Ducote, John Bell, Keith Gray, James Lewis

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Variability exists regarding the surgical technique in breast conservation therapy. The purpose of this project was to determine differences between single (SH) or flanking (FH) hooked needle localization wires used for nonpalpable breast lesions. We retrospectively reviewed 201 female patients at a single institution from 2004 to 2008. All patients had biopsy-proven ductal carcinoma in situ or invasive disease. Comparisons were made in regard to margin status, reoperation, completion mastectomy, size of lesion, and breast specimen volume. SHwas placed in 122 patients (61%) and FH in 79 patients (39%). In SH, 23 patients (18%) had positive margins and 31 patients (25%) had reoperations as compared with 31 patients (25%) with positive margin and 36 patients (44%) in the FH cohort (P = 0.039 and 0.0037). Average lesion size and volume resected was 1.5 cm and 137 cm 3in SH and 2.85 cm and 188 cm 3 in FH, respectively (P = 0.0001 and 0.006). Positive margins were associated with lesion size and not volume of tissue excised. The FH technique was associated with more positive margins, reoperation, and completion mastectomy.

Original languageEnglish (US)
Pages (from-to)519-522
Number of pages4
JournalAmerican Surgeon
Volume78
Issue number5
StatePublished - May 1 2012

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Breast
Reoperation
Mastectomy
Carcinoma, Intraductal, Noninfiltrating
Segmental Mastectomy
Needles
Biopsy

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

The effect of multiple wire localization in breast conservation. / Fillion, Michelle M.; Black, Emily Anne; Hudson, Kathleen B.; Morin-Ducote, Garnetta; Bell, John; Gray, Keith; Lewis, James.

In: American Surgeon, Vol. 78, No. 5, 01.05.2012, p. 519-522.

Research output: Contribution to journalArticle

Fillion, Michelle M. ; Black, Emily Anne ; Hudson, Kathleen B. ; Morin-Ducote, Garnetta ; Bell, John ; Gray, Keith ; Lewis, James. / The effect of multiple wire localization in breast conservation. In: American Surgeon. 2012 ; Vol. 78, No. 5. pp. 519-522.
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