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Effect of introducing hematoma ultrasound-guided lumpectomy in a surgical practice


, : Effect of introducing hematoma ultrasound-guided lumpectomy in a surgical practice. Journal of the American College of Surgeons 215(2): 237-243

Preoperative needle localization (NL) is the gold standard for lumpectomy of nonpalpable breast cancer. Hematoma ultrasound-guided (HUG) lumpectomy can offer several advantages. The purpose of this study was to compare the use of HUG with NL lumpectomy in a single surgical practice. Patients with nonpalpable lesions who underwent NL or HUG lumpectomy from January 27 to December 29 by a single surgeon were identified from a breast surgery database. Ease of scheduling, volume excised, re-excision rates, operating room time, and health care charges were the main outcomes variables. Univariate and multivariate analyses were performed to compare the 2 groups. Lumpectomy was performed in 11 patients, 55 underwent HUG and 55 underwent NL. Hematoma ultrasound-guided lumpectomy was associated with a nearly 3-fold increase in the odds ratio of additional tissue being submitted to pathology (p = .39), but neither the total amount of breast tissue removed, nor the need for second procedure were statistically different between the 2 groups. Duration of the surgical procedure did not vary between the 2 groups; however, the time from biopsy to surgery was shorter for HUG by an expected 9.7 days (p = .19), implying greater ease of scheduling. Mean charges averaged $25 less for HUG than for NL, but this difference was not statistically significant. Hematoma ultrasound-guided is equivalent to NL with regard to volume of tissue excised, need for operative re-excision, and operating room time. Adoption of HUG in our practice allowed for more timely surgical care.

US$19.90

PMID: 22632911

DOI: 10.1016/j.jamcollsurg.2012.04.018


Other references

Hennighausen L.; Pittius C.; Mcknight R.; Shamay A.; Pursel V.; Wall R., 1990: Expression of foreign proteins in the milk of transgenic animals. Journal of Cellular Biochemistry Supplement (14 PART D): 16

Krutzsch, P., 1975: Two provenance trials with Norway Spruce in Sweden (IUFRO 1938). Presents results after 35 years from two trials with stock raised from seed distributed by IUFRO in 1938 and planted in north and central Sweden. The development of 36 provenances is described from the data of six assessments of growth characters...

King, P., 1978: Selected European markets for dehydrated vegetables Indias export potential. Indian food packer: 32 (1) 59-68

Fourcade, R.Olivier., 2007: Urinary tract cancers. The earlier the diagnosis, the better the treatment. La Revue du Praticien 57(6): 593-594

Friedman Gerald M.; Kolkas Mossbah M., 2004: Facies and diagenesis of the subsurface Knox Supergroup (Cambro-Ordovician) of Ohio; correction in stratigraphic boundaries. Northeastern Geology and Environmental Sciences 26(4): 343-347

Vitkova, M.; Chalabala, M.; Rak, J.; Heliova, M., 1984: Drug microforms 7. the microcapsules with chloramphenicol. The microcapsules with chloramphenicol [possible use in treatment of diarrhea in calves] were prepared by phase separation of ethyl cellulose solution in cyclohexane caused by temperature change. The release of medicament as a core of microcapsule...

Tomley, A.J., 1995: The biology of Australian weeds. 26. Cryptostegia grandiflora R. Br. The biology of Cryptostegia grandiflora is reviewed by discussing its nomenclature, identification, history, distribution (in Madagascar and Australia), habitat (climatic requirements, substratum and plant associations), growth and development (mo...

Song, G-li.; Sun, K-xia., 2007: Preparation and photoluminescence investigation of erbium-doped zinc oxide nanocrystalline. Er3+ -doped zinc oxide nanocrystalline powders were successfully prepared by chemical precipitation method. Photoluminescence spectrum (PL), photoluminescence spectrum excitation(PLE) and X-ray diffraction pattern (XRD) of the nanocrystalline ZnO:...

Gómez, Jé.; López-Moliner, J., 2013: Synergies between optical and physical variables in intercepting parabolic targets. Interception requires precise estimation of time-to-contact (TTC) information. A long-standing view posits that all relevant information for extracting TTC is available in the angular variables, which result from the projection of distal objects o...

Anderson, R.A.; Wood, A.J.; Hill, D.B.; Roitberg, B.D., 2000: Odor-based host choice by Anopheles gambiae in relation to fecundity advantage from specific human blood sources. American Journal of Tropical Medicine & Hygiene 62(3 Supplement): 253-254, March