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...

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Main Authors: Hogan Kevin T, Singh Gayatri, Singh Mansher, Atkins Kristen A, Schroen Anneke T
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
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author Hogan Kevin T
Singh Gayatri
Singh Mansher
Atkins Kristen A
Schroen Anneke T
author_facet Hogan Kevin T
Singh Gayatri
Singh Mansher
Atkins Kristen A
Schroen Anneke T
author_sort Hogan Kevin T
collection DOAJ
description <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>
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spelling doaj.art-43a17ca4ab0e4a8aa334e3f6b2c998c22022-12-22T01:08:25ZengBMCWorld Journal of Surgical Oncology1477-78192010-01-0181410.1186/1477-7819-8-4The effect of intraoperative specimen inking on lumpectomy re-excision ratesHogan Kevin TSingh GayatriSingh MansherAtkins Kristen ASchroen Anneke T<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>http://www.wjso.com/content/8/1/4
spellingShingle Hogan Kevin T
Singh Gayatri
Singh Mansher
Atkins Kristen A
Schroen Anneke T
The effect of intraoperative specimen inking on lumpectomy re-excision rates
World Journal of Surgical Oncology
title The effect of intraoperative specimen inking on lumpectomy re-excision rates
title_full The effect of intraoperative specimen inking on lumpectomy re-excision rates
title_fullStr The effect of intraoperative specimen inking on lumpectomy re-excision rates
title_full_unstemmed The effect of intraoperative specimen inking on lumpectomy re-excision rates
title_short The effect of intraoperative specimen inking on lumpectomy re-excision rates
title_sort effect of intraoperative specimen inking on lumpectomy re excision rates
url http://www.wjso.com/content/8/1/4
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