Ultrasound-Guided Lumpectomy for Palpable Breast Cancers

Abstract

Although palpable breast cancers can be excised based on direct palpation or needle localization, we believe that US guidance provides an excellent tool to aid the breast surgeon. Only 10% of patients had a positive margin on final pathology as a result, and the overall re-excision rate was acceptable.

Intraoperative Ultrasound Guidance Is Associated with Clear Lumpectomy Margins for Breast Cancer: A Systematic Review and Meta-Analysis

“…After full-text review of the 31 relevant studies, 13 studies [11], [16], [17], [18], [19], [20], [27], [28], [29], [30], [31], [32], [33] were included in this systematic review and meta-analysis (Fig. 1).…”

“…Of the 13 studies, 8 studies [11], [16], [17], [18], [19], [27], [28], [29] were carried out to investigate whether IOUS could enable a better margin clearance than GWL during non-palpable breast cancers excision. Four studies [20], [30], [31], [32] were eligible for the efficacy of IOUS on margin status of palpable breast cancer, compared with palpation alone. Besides, there is a study [33] evaluating the efficacy of IOUS regardless of whether the breast cancer is palpable or non-palpable.…”

Association between underestimation of tumour size by imaging and incomplete excision in breast-conserving surgery for breast cancer

“…Several small studies have demonstrated the benefits of using intraoperative ultrasound imaging to guide the excision of both non‐palpable and palpable breast cancers. Advantages claimed for intraoperative ultrasonography include improved margin clearance, reduced need for re‐excision, and better specificity for lumpectomy.…”

“…Advantages claimed for intraoperative ultrasonography include improved margin clearance, reduced need for re‐excision, and better specificity for lumpectomy. The technique has been reported to reduce the rate of involved margins to 3–10 per cent. Although ultrasound imaging performed by the surgeon during surgery allows greater surgical autonomy and obviates the need for radiologist‐led tumour localization, it is greatly dependent on the training and experience of the surgeon.…”

Ultrasonography-Guided Breast-Conserving Surgery Is Superior to Palpation-Guided Surgery for Palpable Breast Cancer

“…18 Several groups have since tested the feasibility and security of the method for the localization of nonpalpable breast cancers and compared it with the standard radio-guided and wireguided localization techniques. 12,[19][20][21][22][23][24][25] These studies demonstrated the superiority of US-guided localization with regard to obtaining clear surgical margins. Furthermore, intraoperative US could facilitate wire-guided lumpectomy, leading to lower rates of positive margins (26).…”