The effect of intraoperative specimen inking on lumpectomy re-excision rates
<p>Abstract</p> <p>Background</p> <p>Lumpectomy re-excision to obtain negative margins is common. We compare the effect of two specimen orientation approaches on lumpectomy re-excision rates.</p> <p>Methods</p> <p>All women undergoing lumpectomy...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-01-01
|
| Series: | World Journal of Surgical Oncology |
| Online Access: | http://www.wjso.com/content/8/1/4 |
| Summary: | <p>Abstract</p> <p>Background</p> <p>Lumpectomy re-excision to obtain negative margins is common. We compare the effect of two specimen orientation approaches on lumpectomy re-excision rates.</p> <p>Methods</p> <p>All women undergoing lumpectomy for breast cancer by a single surgeon between 03/2007 - 02/2009 were included. Lumpectomies underwent standard inking (SI) after surgery by a pathologist from 03/2007-02/2008 while intraoperative inking (II) with direct surgeon input was done from 03/2008-02/2009. Rates of margin positivity and re-excision were compared between these methods.</p> <p>Results</p> <p>65 patients were evaluated, reflecting SI in 39 and II in 26 cases. Margin positivity rates of 46% [SI] vs. 23% [II] (p = 0.06) and re-excision rates of 38% [SI] vs. 19% [II] were observed. Residual disease at re-excision was found in 27% [SI] vs. 67% [II] of cases.</p> <p>Conclusions</p> <p>Intraoperative inking in this practice offered a simple way to reduce re-excision rates after lumpectomy and affect an improvement in quality of patient care.</p> |
|---|---|
| ISSN: | 1477-7819 |