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

Authors :
Almezaien O
Mohamed Eldeeb A
Kalmoush A
Shaaban Nassar M
Zaghlol Mohamed T
Sobhy Shaaban M
Ibrahim Henish M
Teama S
Abdolmonem Elgohary Khalafallah S
Ibrahim LA
Source :
International journal of surgical oncology [Int J Surg Oncol] 2022 Dec 07; Vol. 2022, pp. 2268821. Date of Electronic Publication: 2022 Dec 07 (Print Publication: 2022).
Publication Year :
2022

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).<br />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).<br />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.<br />Competing Interests: The authors declare that they have no conflicts of interest.<br /> (Copyright © 2022 Osama Almezaien et al.)

Details

Language :
English
ISSN :
2090-1410
Volume :
2022
Database :
MEDLINE
Journal :
International journal of surgical oncology
Publication Type :
Academic Journal
Accession number :
36531148
Full Text :
https://doi.org/10.1155/2022/2268821