Effectiveness of Carbon Localization for Invasive Breast Cancer: An Institutional Experience.


Journal

The breast journal
ISSN: 1524-4741
Titre abrégé: Breast J
Pays: United States
ID NLM: 9505539

Informations de publication

Date de publication:
2023
Historique:
received: 14 12 2022
revised: 21 05 2023
accepted: 08 07 2023
medline: 28 7 2023
pubmed: 27 7 2023
entrez: 27 7 2023
Statut: epublish

Résumé

The final oncological and aesthetic results of breast-conserving surgery (BCS) are influenced by the precise localization of breast cancer (BC) tumors and by the quality of the intraoperative margin assessment technique. This study aimed to assess the effectiveness of the carbon localization (CL) technique by determining the success rate of BC identification and the proportion of adequate complete resection of BC lesions. We conducted a cross-sectional retrospective study of patients treated with primary BCS for invasive BC who underwent CL of their BC lesion at the Jules Bordet Institute between January 2015 and December 2017. Descriptive statistics with categorical and continuous variables were used. The success rate of tumor identification and the rate of adequate excision were calculated using the test of percentages for independent dichotomous data. This study included 542 patients with 564 nonpalpable BC lesions. The median pathological tumor size was 12 mm. Of these, 460 were invasive ductal carcinomas. Most of the tumors were of the luminal subtype. CL was performed using ultrasound guidance in 98.5% of cases. The median delay between CL and surgery was 5 days, with 46% of the patients having CL one day before surgery. The lumpectomy weighed 38 g on average, with a median diameter of the surgical sample at 6 cm and a median volume of 44 cm This study demonstrated high success rates for BC tumor identification (99%) and one-stage complete resection (93.4%) after BCS and CL. These results show that CL is an effective, simple, and inexpensive localization technique for successful excision of BC lesions during BCS.

Identifiants

pubmed: 37496746
doi: 10.1155/2023/4082501
pmc: PMC10368511
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

4082501

Informations de copyright

Copyright © 2023 Etienne El-Helou et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Etienne El-Helou (E)

Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Christine Eddy (C)

Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Simona Picchia (S)

Department of Radiology, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Carine Van de Merckt (C)

Department of Radiology, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Magali Radermeker (M)

Department of Radiology, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Michel Moreau (M)

Data Centre and Statistic Department, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Filip De Neubourg (F)

Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Denis Larsimont (D)

Department of Pathology, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Isabelle Veys (I)

Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

C Florin Pop (CF)

Department of Surgery, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

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