Use of preoperative breast ultrasonography for mapping of breast cancer extent improves resection margins during breast conservation surgery

Hernan I. Vargas, Iraj Khalkhali, Katherine D. Gonzalez, Kamal Eldrageely, Melissa Burla, M. Perla Vargas, Lawrence D. Wagman, Theodore X. O'Connell, Laura Esserman, Stanley P.L. Leong, John T. Vetto, Ronald G. Latimer, Nathalie M. Johnson, Bruce E. Stabile

    Research output: Contribution to journalArticlepeer-review

    7 Scopus citations

    Abstract

    Background: Positive margins after breast conservation surgery occur frequently and negatively influence local control rates. Hypothesis: Preoperative breast ultrasonography reduces the incidence of positive margins during breast conservation surgery. Design: Case-control analysis. Patients and Intervention: One hundred twenty-two consecutive patients with invasive breast cancer were studied. Palpation or needle-wire-guided breast conservation surgery was used in the first 61 patients (group 1). Preoperative breast ultrasonography was added to the protocol in the last 61 patients (group 2). Main Outcome Measures: Incidence of positive margins, distance to closest margin. Results: There was a 3.7-fold reduction in positive margins (P =.04, 95% confidence interval, 1.06-16.73) and improved resection margins (P =.04, 95% confidence interval, 0.14-3.88) when breast ultrasonography was used. Reexcision of margins was done in 11% (7 of 61 patients) in group 1 and 3% (2 of 61 patients) in group 2 (P=.17). Conclusion: Preoperative breast ultrasonography improves the margins of resection and decreases the incidence of positive margins during breast conservation surgery.

    Original languageEnglish (US)
    Pages (from-to)863-869
    Number of pages7
    JournalArchives of Surgery
    Volume139
    Issue number8
    DOIs
    StatePublished - Aug 2004

    ASJC Scopus subject areas

    • Surgery

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