Technologies and techniques to improve precision in breast conserving surgery

被引:1
作者
Leff, Daniel R. [1 ,2 ]
机构
[1] Imperial Coll London, Dept Surg & Canc, London, England
[2] Imperial Coll Healthcare NHS Trust, Breast Unit, London, England
关键词
breast conserving surgery; confocal laser microscopy; frozen section; imprint cytology; intraoperative margin assessment; MicroCT; margins; mass spectrometry; optical coherence tomography; partial mastectomy; radiofrequency spectroscopy; shave margins; ONCOLOGY CONSENSUS GUIDELINE; MARGIN ASSESSMENT; AMERICAN SOCIETY; REAL-TIME; DIAGNOSTIC-ACCURACY; TUMOR MARGINS; CANCER; LUMPECTOMY; IRRADIATION; EXCISION;
D O I
10.1002/jso.27657
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Imprecision in breast conserving surgery results in high rates of take back to theatre for reexcision of margins. This paper reviews the various approaches to improving the precision of oncological margin control in breast conserving surgery. The review describes the rationale for improved tissue characterization over tumor localization and explores technology-free approaches, as well as progress being made to develop and test innovative technological solutions.
引用
收藏
页码:108 / 114
页数:7
相关论文
共 53 条
  • [1] A prospective, randomized, controlled, multicenter study of a real-time, intraoperative probe for positive margin detection in breast-conserving surgery
    Allweis, Tanir M.
    Kaufman, Zvi
    Lelcuk, Shlomo
    Pappo, Itzhak
    Karni, Tami
    Schneebaum, Shlomo
    Spector, Rona
    Schindel, Asher
    Hershko, Dan
    Zilberman, Moshe
    Sayfan, Joel
    Berlin, Yuri
    Hadary, Amram
    Olsha, Oded
    Paran, Haim
    Gutman, Mordechai
    Carmon, Moshe
    [J]. AMERICAN JOURNAL OF SURGERY, 2008, 196 (04) : 483 - 489
  • [2] Digital breast tomosynthesis versus full-field digital mammography-Which modality provides more accurate prediction of margin status in specimen radiography?
    Amer, Heba A.
    Schmitzberger, Florian
    Ingold-Heppner, Barbara
    Kussmaul, Julia
    El Tohamy, Manal F.
    Tantawy, Hazim I.
    Hamm, B.
    Makowski, M.
    Fallenberg, Eva M.
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2017, 93 : 258 - 264
  • [3] Intraoperative Tissue Identification Using Rapid Evaporative Ionization Mass Spectrometry
    Balog, Julia
    Sasi-Szabo, Laszlo
    Kinross, James
    Lewis, Matthew R.
    Muirhead, Laura J.
    Veselkov, Kirill
    Mirnezami, Reza
    Dezso, Balazs
    Damjanovich, Laszlo
    Darzi, Ara
    Nicholson, Jeremy K.
    Takats, Zoltan
    [J]. SCIENCE TRANSLATIONAL MEDICINE, 2013, 5 (194)
  • [4] Optical coherence tomography: feasibility for basic research and image-guided surgery of breast cancer
    Boppart, SA
    Luo, W
    Marks, DL
    Singletary, KW
    [J]. BREAST CANCER RESEARCH AND TREATMENT, 2004, 84 (02) : 85 - 97
  • [5] Impact of analysis of frozen-section margin on reoperation rates in women undergoing lumpectomy for breast cancer: Evaluation of the National Surgical Quality Improvement Program data
    Boughey, Judy C.
    Hieken, Tina J.
    Jakub, James W.
    Degnim, Amy C.
    Grant, Clive S.
    Farley, David R.
    Thomsen, Kristine M.
    Osborn, John B.
    Keeney, Gary L.
    Habermann, Elizabeth B.
    [J]. SURGERY, 2014, 156 (01) : 190 - 197
  • [6] Bundred N., 2022, Eur. J. Surg. Oncol., V48, pe221
  • [7] A Randomized, Controlled Trial of Cavity Shave Margins in Breast Cancer
    Chagpar, Anees B.
    Killelea, Brigid K.
    Tsangaris, Theodore N.
    Butler, Meghan
    Stavris, Karen
    Li, Fangyong
    Yao, Xiaopan
    Bossuyt, Veerle
    Harigopal, Malini
    Lannin, Donald R.
    Pusztai, Lajos
    Horowitz, Nina R.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (06) : 503 - 510
  • [8] Digital Breast Tomosynthesis as a Tool in Confirming Negative Surgical Margins in Non-palpable Breast Lesions
    Chand, Jithin T.
    Sharma, Mala M.
    Dharmarajan, Janaki P.
    Nambiar, Ajit
    [J]. INDIAN JOURNAL OF SURGICAL ONCOLOGY, 2019, 10 (04) : 624 - 628
  • [9] Imaging breast cancer morphology using probe-based confocal laser endomicroscopy: towards a real-time intraoperative imaging tool for cavity scanning
    Chang, Tou Pin
    Leff, Daniel R.
    Shousha, Sami
    Hadjiminas, Dimitri J.
    Ramakrishnan, Rathi
    Hughes, Michael R.
    Yang, Guang-Zhong
    Darzi, Ara
    [J]. BREAST CANCER RESEARCH AND TREATMENT, 2015, 153 (02) : 299 - 310
  • [10] Clinicopathological Predictors of Positive Resection Margins in Breast-Conserving Surgery
    Chauhan, Hemali
    Jiwa, Natasha
    Nagarajan, Vikneswaran Raj
    Thiruchelvam, Paul
    Hogben, Katy
    Al-Mufti, Ragheed
    Hadjiminas, Dimitri
    Shousha, Sami
    Cutress, Ramsey
    Ashrafian, Hutan
    Takats, Zoltan
    Leff, Daniel Richard
    [J]. ANNALS OF SURGICAL ONCOLOGY, 2024, 31 (06) : 3939 - 3947