Journal article
Effect of Introducing Hematoma Ultrasound-Guided Lumpectomy in a Surgical Practice
Journal of the American College of Surgeons, Vol.215(2), pp.237-243
08/01/2012
DOI: 10.1016/j.jamcollsurg.2012.04.018
PMCID: PMC4437196
PMID: 22632911
Abstract
BACKGROUND: 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.
STUDY DESIGN: Patients with nonpalpable lesions who underwent NL or HUG lumpectomy from January 2007 to December 2009 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.
RESULTS: Lumpectomy was performed in 110 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 = 0.039), 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 = 0.019), implying greater ease of scheduling. Mean charges averaged $250 less for HUG than for NL, but this difference was not statistically significant.
CONCLUSIONS: 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. (J Am Coll Surg 2012; 215: 237-243. (C) 2012 by the American College of Surgeons)
Details
- Title: Subtitle
- Effect of Introducing Hematoma Ultrasound-Guided Lumpectomy in a Surgical Practice
- Creators
- Gregory Larrieux - University of IowaJulie A. Cupp - University of IowaJunlin Liao - University of IowaCarol E. H. Scott-Conner - University of IowaRonald J. Weigel - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Surgeons, Vol.215(2), pp.237-243
- DOI
- 10.1016/j.jamcollsurg.2012.04.018
- PMID
- 22632911
- PMCID
- PMC4437196
- NLM abbreviation
- J Am Coll Surg
- ISSN
- 1072-7515
- eISSN
- 1879-1190
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- T32CA148062 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA T32CA148062 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Language
- English
- Date published
- 08/01/2012
- Academic Unit
- Molecular Physiology and Biophysics; Anatomy and Cell Biology; Surgery; Biochemistry and Molecular Biology
- Record Identifier
- 9984284348602771
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