Intraoperative Specimen Mammography for Margin Assessment in Breast-Conserving Surgery

Ming Jin; Ji Young Kim; Tae Hee Kim; Doo Kyung Kang; Se Hwan Han; Yongsik Jung

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자료유형: 학술저널

저자정보: Ming Jin (Department of Surgery Ajou University Hospital Suwon Korea) Ji Young Kim (Departments of Surgery Ajou University School of Medicine) Tae Hee Kim (Departments of Radiology Ajou University School of Medicine) Doo Kyung Kang (Department of Radiology Ajou University Hospital Suwon Korea) Se Hwan Han (Department of Surgery Ajou University Hospital Suwon Korea) Yongsik Jung (Departments of Surgery Ajou University School of Medicine)

저널정보: 한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.22 No.4

발행연도: 2019.1

수록면: 635 - 640 (6page)

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연구주제

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연구배경

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The purpose of this study aimed to determine whether intraoperative specimen mammography is an effective margin assessment method in Asian women. Thus, 182 patients who underwent breast-conserving surgery (BCS) were evaluated. After wide excision, intraoperative specimen mammography was used to assess margin adequacy. The control group comprised 84 patients who underwent BCS and were evaluated for margin of frozen section during surgery. 61.6% patients had dense breasts and 85.7% of dense breasts could margin assess by intraoperative specimen mammography. There were no significant differences in the incidence of extremely close margins (p = 0.421) and second operation (p = 0.252) between both groups. Significant correlations were found between radiological and histological margins (R2 = 0.222, p < 0.05). The frozen section analysis group had longer operative time than the specimen mammography group. The study results show that intraoperative specimen mammography of breast lesions in BCS is useful in identifying margin clearance.

#Breast neoplasm #Mammography #Margins of excision

참고문헌 (20)

참고문헌 신청

Weber WP / 2008 / Accuracy of frozen section analysis versus specimen radiography during breast-conserving surgery for nonpalpable lesions / World J Surg 32:2599~2606

Bimston DN / 2000 / Is specimen mammography beneficial? / Arch Surg 135:1083~1086

Kim SH / 2000 / Analysis and comparison of breast density according to age on mammogram between Korea and western women / J Korean Radiol Soc 42:1009~1014

American College of Radiology / 2013 / ACR BI-RADS® Atlas / American College of Radiology

Gajdos C / 2002 / Mammographic appearance of nonpalpable breast cancer reflects pathologic characteristics / Ann Surg 235:246~251

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