The Beneficial Impact of Intraoperative Ultrasound on Resection Margin Status during Breast Conserving Surgery.

IF 1.6 Q4 ONCOLOGY International Journal of Surgical Oncology Pub Date : 2022-01-01 DOI:10.1155/2022/2268821
Osama Almezaien, Ahmed Mohamed Eldeeb, Abdelfattah Kalmoush, Mohamed Shaaban Nassar, Tarek Zaghlol Mohamed, Mohamed Sobhy Shaaban, Mohamed Ibrahim Henish, Sobhy Teama, Saed Abdolmonem Elgohary Khalafallah, Lofty A Ibrahim
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Abstract

Background: Surgical resection with clear surgical cut margins is the mainstay of managing malignant breast neoplasms. Multiple techniques have been suggested to enhance resection status during breast-conserving surgery (BCS), including intraoperative ultrasonography (IOUS). Herein, we conducted the current investigation to reveal the benefit of IOUS on the achievement of R0 resection. Patients and Methods. This retrospective investigation included 140 patients who underwent BCS. They were divided into two groups: the IOUS group (40 cases) and the control group (100 cases). Our primary objective was to determine the free resection margin status (R0).

Results: Both study groups expressed statistically comparable demographic and clinical data. Additionally, histopathological examination revealed no significant difference between the two groups regarding the tumor type, stage, or grade. Nonetheless, the R0 resection margin was more frequently encountered in association with IOUS application (97.5% compared to 79% in the control group), and that difference was statistically significant (p=0.007).

Conclusion: The application of IOUS has a significant beneficial impact on the outcomes of BCS. It is associated with a marked decline in positive resection margins, and its application should be encouraged in the breast oncological practice.

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保乳手术中术中超声对切除缘状态的有益影响。
背景:手术切除和清晰的切缘是治疗乳腺恶性肿瘤的主要方法。在保乳手术(BCS)中,有多种技术被建议提高切除状态,包括术中超声检查(IOUS)。在此,我们进行了当前的调查,以揭示欠条对实现R0切除的好处。患者和方法。这项回顾性调查包括140例接受BCS的患者。他们被分为两组:欠条组(40例)和对照组(100例)。我们的主要目的是确定自由切除边缘状态(R0)。结果:两个研究组的人口统计学和临床数据具有可比性。此外,组织病理学检查显示两组在肿瘤类型、分期或分级方面无显著差异。尽管如此,R0切除边缘与白条应用相关的情况更频繁(97.5%,对照组79%),差异具有统计学意义(p=0.007)。结论:应用欠条对BCS的预后有显著的有益影响。它与阳性切除边缘的显著下降有关,应鼓励其在乳腺肿瘤实践中的应用。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
期刊最新文献
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