Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 540-545 |
| Journal | ANZ Journal of Surgery |
| Volume | 85 |
| Issue number | 7-8 |
| DOIs | |
| Publication status | Published - 2015 |
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Predictors of re-excision in wire-guided wide local excision for early breast cancer: A Western Australian multi-centre experience. / Ballal, H.; Taylor, Donna; Bourke, A.G.; Latham, B.; Saunders, Christobel.
In: ANZ Journal of Surgery, Vol. 85, No. 7-8, 2015, p. 540-545.Research output: Contribution to journal › Article
TY - JOUR
T1 - Predictors of re-excision in wire-guided wide local excision for early breast cancer: A Western Australian multi-centre experience
AU - Ballal, H.
AU - Taylor, Donna
AU - Bourke, A.G.
AU - Latham, B.
AU - Saunders, Christobel
PY - 2015
Y1 - 2015
N2 - © 2015 Royal Australasian College of Surgeons. Background: A significant proportion of breast cancers present as impalpable lesions requiring radiological guidance prior to surgical excision, commonly by hook-wire placement. Complete lesion excision is an essential part of treatment, and re-excision may be needed to ensure this and minimize local recurrence. We explore a 1-year audit of re-excision of hook-wire-guided excisions in two large public breast units in Western Australia and define factors associated with the requirement for re-excision. Methods: A retrospective review of wire-localized wide local excisions for early breast cancer in 2009 at two tertiary breast centres in Western Australia. Results: Of 148 localized lesions, 44 (30%) underwent re-excision. The only significant preoperative finding was the location of tumour in the breast. The intra-operative specimen radiograph provided useful information that influenced re-excision. Smaller (≤5mm) and larger (>20mm) tumours on final pathological size were more likely to undergo re-excision as well as a larger difference in actual size to predicted size. The presence of ductal carcinoma in situ (DCIS) increased re-operation, as did multifocality. Conclusion: This study highlights factors that should make the surgeon more cautious for re-excision. Suspicion of DCIS, especially at the periphery of tumours, and a central tumour location increase risk. Lesion localization techniques play an important role in minimizing risk while maintaining cosmesis.
AB - © 2015 Royal Australasian College of Surgeons. Background: A significant proportion of breast cancers present as impalpable lesions requiring radiological guidance prior to surgical excision, commonly by hook-wire placement. Complete lesion excision is an essential part of treatment, and re-excision may be needed to ensure this and minimize local recurrence. We explore a 1-year audit of re-excision of hook-wire-guided excisions in two large public breast units in Western Australia and define factors associated with the requirement for re-excision. Methods: A retrospective review of wire-localized wide local excisions for early breast cancer in 2009 at two tertiary breast centres in Western Australia. Results: Of 148 localized lesions, 44 (30%) underwent re-excision. The only significant preoperative finding was the location of tumour in the breast. The intra-operative specimen radiograph provided useful information that influenced re-excision. Smaller (≤5mm) and larger (>20mm) tumours on final pathological size were more likely to undergo re-excision as well as a larger difference in actual size to predicted size. The presence of ductal carcinoma in situ (DCIS) increased re-operation, as did multifocality. Conclusion: This study highlights factors that should make the surgeon more cautious for re-excision. Suspicion of DCIS, especially at the periphery of tumours, and a central tumour location increase risk. Lesion localization techniques play an important role in minimizing risk while maintaining cosmesis.
U2 - 10.1111/ans.13067
DO - 10.1111/ans.13067
M3 - Article
VL - 85
SP - 540
EP - 545
JO - Australian New Zealand Journal of Surgery
JF - Australian New Zealand Journal of Surgery
SN - 1445-1433
IS - 7-8
ER -