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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Format: | Article |
Language: | English |
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BMC
2010-01-01
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Series: | World Journal of Surgical Oncology |
Online Access: | http://www.wjso.com/content/8/1/4 |
_version_ | 1818144501079736320 |
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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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id | doaj.art-43a17ca4ab0e4a8aa334e3f6b2c998c2 |
institution | Directory Open Access Journal |
issn | 1477-7819 |
language | English |
last_indexed | 2024-12-11T11:48:34Z |
publishDate | 2010-01-01 |
publisher | BMC |
record_format | Article |
series | World Journal of Surgical Oncology |
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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