Magnetic seed versus skin tattoo localization of non-palpable breast lesions: a single institution cohort study.
Breast cancer
Breast-conserving surgery
Magnetics
Mastectomies
Tattooing
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
01 Aug 2023
01 Aug 2023
Historique:
received:
31
03
2023
accepted:
23
06
2023
revised:
29
05
2023
medline:
1
8
2023
pubmed:
1
8
2023
entrez:
1
8
2023
Statut:
aheadofprint
Résumé
The objective of this retrospective study was to investigate the accuracy and feasibility of magnetic seed compared to skin tattoo in preoperative localization of impalpable breast lesions in terms of accuracy of placement, re-excision and positive margins rates, and breast/surgical specimen volume ratio. We retrospectively analyzed 77 patients who underwent breast conservative surgery in our center from November 2020 to November 2021, with previous localization with skin tattoo or magnetic seed. Thirty-seven magnetic seeds were placed in 36 patients (48.6%) and 40 skin tattoos were performed in the remaining cases (51.4%). The seeds were placed correctly at the two-view mammogram acquired after the insertion in 97.6% (36/37) of cases. With both methods, 100% of the index lesions were completely removed and found in the surgical specimen. The reported re-excision rate was 0% for both groups. A significant difference was observed in the volume of breast parenchyma removed between the two groups, inferior in the seed group (p = 0.046), especially in case of voluminous breasts (p = 0.003) and small lesions (dimension < 8 mm, p = 0.019). Magnetic seed is a non-radioactive localization technique, feasible to place, recommended in case of non-palpable breast lesions, saving the breast parenchyma removed compared with skin tattoo, without reducing the accuracy. Our findings contribute to the current evidence on preoperative localization techniques for non-palpable breast lesions, highlighting the efficacy of magnetic seed localization for deep and small lesions. • Magnetic seed is a non-radioactive technique for the preoperative localization of non-palpable breast lesions studied in comparison with skin tattoo. • Magnetic seed is feasible to place in terms of post-placement migration and distance from the target lesion. • Magnetic seed is recommended in case of non-palpable breast lesions, saving the breast parenchyma removed without reducing the accuracy.
Identifiants
pubmed: 37526666
doi: 10.1007/s00330-023-10008-4
pii: 10.1007/s00330-023-10008-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s).
Références
Micha AE, Sinnett V, Downey K et al (2021) Patient and clinician satisfaction and clinical outcomes of Magseed compared with wire-guided localisation for impalpable breast lesions. Breast Cancer 28(1):196–205. https://doi.org/10.1007/s12282-020-01149-1
Fleming FJ, Hill AD, Mc Dermott EW, O’Doherty A, O’Higgins NJ, Quinn CM (2004) Intraoperative margin assessment and re-excision rate in breast conserving surgery. Eur J Surg Oncol 30(3):233–237
doi: 10.1016/j.ejso.2003.11.008
pubmed: 15028301
Hall FM, Kopans DB, Sadowsky NL, Homer MJ (2013) Development of wire localization for occult breast lesions: Boston remembrances. Radiology 268:622–627
doi: 10.1148/radiol.13121943
pubmed: 23970507
Frank HA, Hall FM, Steer ML (1976) Preoperative localization of nonpalpable breast lesions demonstrated by mammography. N Engl J Med 295:259–260
doi: 10.1056/NEJM197607292950506
pubmed: 934190
Moreira IC, Ventura SR, Ramos I, Fougo JL, Rodrigues PP (2020) Preoperative localization techniques in breast conservative surgery: a systematic review and meta-analysis. Surg Oncol 35:351e73
doi: 10.1016/j.suronc.2020.09.004
Yagan R (1987) Needle localization of occult breast lesions with a curved-end retractable wire: techniques and pitfalls. Radiology 163(1):284
doi: 10.1148/radiology.163.1.3823453
pubmed: 3823453
Jackman RJ, Marzoni FA Jr (1997) Needle-localized breast biopsy: why do we fail? Radiology 204:677–684
doi: 10.1148/radiology.204.3.9280243
pubmed: 9280243
Homer MJ, Pile-Spellman ER (1986) Needle localization of occult breast lesions with a curved-end retractable wire: technique and pitfalls. Radiology 161(2):547–548
doi: 10.1148/radiology.161.2.3763930
pubmed: 3763930
Gray RJ, Salud C, Nguyen K et al (2001) Randomized prospective evaluation of a novel technique for biopsy or lumpectomy of nonpalpable breast lesions: radioactive seed versus wire localization. Ann Surg Oncol. 8(9):711–5
doi: 10.1007/s10434-001-0711-3
pubmed: 11597011
Rageth CJ, O’Flynn EAM, Pinker K et al (2019) Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions). Breast Cancer Res Treat 174(2):279–296. https://doi.org/10.1007/s10549-018-05071-1
doi: 10.1007/s10549-018-05071-1
pubmed: 30506111
Katariya RN, Forrest AP, Gravelle IH (1974) Breast volumes in cancer of the breast. Br J Cancer 29(3):270–273
doi: 10.1038/bjc.1974.66
pubmed: 4830145
pmcid: 2009093
Price ER, Khoury AL, Esserman LJ et al (2018) Initial clinical experience with inducible magnetic seed system for preoperative breast lesion localisation. AJR Am J Roentgenol 210:913e7
doi: 10.2214/AJR.17.18345
Wapnir IL, Wartenberg DE, Greco RS (1996) Three dimensional staging of breast cancer. Breast Cancer Res Treat 41(1):15–19
doi: 10.1007/BF01807032
pubmed: 8932872
Franceschini G, Mason EJ, Grippo C et al (2021) Image-guided localization techniques for surgical excision of non-palpable breast lesions: an overview of current literature and our experience with preoperative skin tattoo. J Pers Med 11(2):99
doi: 10.3390/jpm11020099
pubmed: 33557072
pmcid: 7913802
Schermers B, van der Hage JA, Loo CE et al (2017) Feasibility of magnetic marker localisation for non-palpable breast cancer. Breast 33:50–56
doi: 10.1016/j.breast.2017.03.003
pubmed: 28282587
Zacharioudakis K, Down S, Bholah Z et al (2019) Is the future magnetic? Magseed localisation for non palpable breast cancer. A multi-centre non randomised control study. Eur J Surg Oncol 45(11):2016–2021
doi: 10.1016/j.ejso.2019.06.035
pubmed: 31288944
Jeevan R, Cromwell DA, Trivella M et al (2012) Reoperation rates after breast conserving surgery for breast cancer among women in England: retrospective study of hospital episode statistics. BMJ 345:4505
doi: 10.1136/bmj.e4505
Recht A, Comen EA, Fine RE et al (2016) Postmastectomy radiotherapy: an American Society of Clinical Oncology, American Society for Radiation Oncology, and Society of Surgical Oncology Focused Guideline Update. Pract Radiat Oncol 6:e219–e234
doi: 10.1016/j.prro.2016.08.009
pubmed: 27659727
Powell M, Gate T, Kalake O, Ranjith C, Pennick MO (2021) Magnetic Seed Localization (Magseed) for excision of impalpable breast lesions-the North Wales experience. Breast J 27(6):529–536
doi: 10.1111/tbj.14232
pubmed: 33855763
Singh P, Scoggins ME, Sahin AA et al (2020) Effectiveness and safety of Magseed-localization for excision of breast lesions: a prospective, phase IV trial. Ann Surg Open 1(2):e008
doi: 10.1097/AS9.0000000000000008
pubmed: 34017965
pmcid: 8130552