Breast. 2015 Oct;24(5):556-9.

Intra-operative digital specimen radiology reduces re-operation rates in therapeutic mammaplasty for breast cancer.

Majdak-Paredes EJ1, Schaverien MV2, Szychta P3, Raine C2, Dixon JM2.
  • 1Edinburgh Breast Unit, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK. Electronic address: emajdak@doctors.net.uk.
  • 2Edinburgh Breast Unit, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK.
  • 3Edinburgh Breast Unit, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK; Department of Surgical Oncology & Breast Diseases, Polish Mother’s Memorial Hospital & Research Institute, Lodz, Poland.

 

Abstract

BACKGROUND: The aim of this study was to evaluate our experience with intra-operative imaging of therapeutic mammaplasty specimens at Edinburgh Breast Unit.

METHODS: A retrospective review was performed of patients who underwent therapeutic mammaplasty in Edinburgh Breast Unit between 2007 and 2013 who had intraoperative specimen radiography.

RESULTS: 98 (100%) patients who underwent therapeutic mammaplasty for breast cancer had intra-operative imaging using the faxitron(®) 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.

CONCLUSION: Complete excision rate in patients who had intra-operative imaging during therapeutic mammaplsty procedure was 97% in our group. Faxitron(®) system is a useful adjunct in helping to achieve low incomplete excision rates.

KEYWORDS: Breast cancer; Breast conserving surgery; Breast reconstruction; Therapeutic mammaplasty

PMID: 26119619

 

 

 

 

 

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