The Use of Intraoperative Ultrasound During Breast Conserving Surgery

Nicole K. Fosko, Yelizaveta Gribkova, Kelly Krupa, Kavita Jain BS, Dirk Moore, Chunxia Chen, Lindsay Potdevin, Shicha Kumar, Firas Eladoumikdachi, Maria J. Kowzun

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objectives: The purpose of this study is to evaluate the utilization of intraoperative ultrasound (IOUS) for tumor localization in breast-conserving surgery and to examine its impact on margin positivity and re-excision rates. Additionally, the study seeks to identify factors contributing to surgeon utilization of IOUS. Methods: A retrospective chart review was conducted of patients with preoperative diagnosis of breast cancer undergoing breast-conserving surgery by breast surgeons at multiple centers within a single healthcare system. Characteristics such as lesion size, palpability, histology, receptor status, and use of neoadjuvant chemotherapy were recorded. Re-excision rates were determined based on localization technique and surgeons’ status of breast ultrasound certification. Results: A total of 671 cases were performed, with 322 meeting study inclusion. 57 cases utilized IOUS, 250 utilized preoperative wire-guided localization (WGL), 10 used both methods and 5 cases used neither method. There was no significant difference in re-excision rates between IOUS and WGL or among the four surgeons. Ultrasound-certified surgeons were more likely to utilize IOUS, and re-excision rates trended higher for WGL, which may be clinically significant. Conclusion: Increasing familiarity with and utilization of IOUS during breast-conserving surgery may be clinically advantageous over traditional localization techniques. Ultrasound certification may lead to increased use of IOUS among surgeons.

Original languageEnglish (US)
Pages (from-to)54-59
Number of pages6
JournalClinical Breast Cancer
Volume23
Issue number1
DOIs
StatePublished - Jan 2023

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

Keywords

  • Breast cancer
  • Breast conserving surgery
  • Localization methods
  • Oncoplastic surgery

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