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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Intraoperative ultrasound for localization of nonpalpable breast lesions

Intraoperative ultrasound for localization of nonpalpable breast lesions
Study Intervention Positive margin rate Re-excision rate
Arm n Percent p value Percent p value
Rahusen et al[1] IOUS 26 11 0.007 – –
WGL 23 45 –
Eggemann et al[2] IOUS 90 12.2 1.000 10.0 0.798
WGL 68 13.2 11.8
James et al[3] IOUS 96 10.4 >0.05 20.8 0.184
WGL 59 11.9 30.5
Moore et al[4] IOUS 27 3.5 <0.05 – –
SOC 24 29 –
COBALT[5] IOUS 65 3 0.0093 2 NS
Palpation 69 17 11
Karanlik et al[6] IOUS 84 17 0.03 – –
Palpation 80 6 –
Fisher et al[7] IOUS 73 – – 23 >0.05
Palpation 124 – 25
Davis et al[8] IOUS 22 9 0.01 9 0.04
Palpation 44 41 34
IOUS: intraoperative ultrasound; WGL: wire-guided lumpectomy; SOC: standard of care (ie, no intraoperative ultrasound, but otherwise localization technique not specified); NS: not specified.
References:
  1. Rahusen FD, Bremers AJ, Fabry HF, et al. Ultrasound-guided lumpectomy of nonpalpable breast cancer versus wire-guided resection: A randomized clinical trial. Ann Surg Oncol 2002; 9:994.
  2. Eggemann H, Costa SD, Ignatov A. Ultrasound-guided versus wire-guided breast-conserving surgery for nonpalpable breast cancer. Clin Breast Cancer 2016; 16:e1.
  3. James TA, Harlow S, Sheehey-Jones J, et al. Intraoperative ultrasound versus mammographic needle localization for ductal carcinoma in situ. Ann Surg Oncol 2009; 16:1164.
  4. Moore MM, Whitney LA, Cerilli L, et al. Intraoperative ultrasound is associated with clear lumpectomy margins for palpable infiltrating ductal breast cancer. Ann Surg 2001; 233:761.
  5. Krekel NM, Haloua MH, Lopes Cardozo AM, et al. Intraoperative ultrasound guidance for palpable breast cancer excision (COBALT trial): A multicentre, randomised controlled trial. Lancet Oncol 2013; 14:48.
  6. Karanlik H, Ozgur I, Sahin D, et al. Intraoperative ultrasound reduces the need for re-excision in breast-conserving surgery. World J Surg Oncol 2015; 13:321.
  7. Fisher CS, Mushawah FA, Cyr AE, et al. Ultrasound-guided lumpectomy for palpable breast cancers. Ann Surg Oncol 2011; 18:3198.
  8. Davis KM, Hsu CH, Bouton ME, et al. Intraoperative ultrasound can decrease the re-excision lumpectomy rate in patients with palpable breast cancers. Am Surg 2011; 77:720.
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