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Year : 2018  |  Volume : 55  |  Issue : 4  |  Page : 361--365

Comparison of resection margins and cosmetic outcome following intraoperative ultrasound-guided excision versus conventional palpation-guided breast conservation surgery in breast cancer: A randomized controlled trial

Tejas Vispute1, Suhani3, V Seenu3, Rajinder Parshad3, Smriti Hari2, Sanjay Thulkar2, Sandeep Mathur3 
1 Department of Surgical Oncology, BRA-IRCH; Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
2 Department of Radio Diagnosis, All India Institute of Medical Sciences, New Delhi, India
3 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
V Seenu
Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi
India

INTRODUCTION: Use of intraoperative ultrasound (IOUS) has been shown to help achieve satisfactory cosmesis and negative margins in breast conserving surgery (BCS). This study has been done to compare the oncological and cosmetic outcomes following BCS using conventional palpatory method and IOUS. MATERIALS AND METHODS: This is a prospective randomized controlled trial conducted at a tertiary care teaching and research institute in India. Patients with early operable breast cancer willing for BCS were included. Tumors were excised with 1 cm margin. In palpatory group, tumor was palpated and 1 cm margin was taken with a measuring scale while in the second group, IOUS was used to mark the margins. Histopathological evaluation was done to assess margins and cosmesis was assessed by patient, resident doctor, and nurse independently. RESULTS: Sixty patients were included, 32 in the ultrasonography-guided and 28 in palpation-guided wide local excision. The mean age of patients was 48.78 years. In both groups, mean tumor size was 3.18 cm. Margin thickness and positivity was higher in palpatory group (though P > 0.05). Most patients were satisfied with cosmesis. There was no significant difference in complications and specimen volume in both groups. Presence of ductal carcinoma in situ component and expression of Her2neu by tumor cells had a significant impact on margin positivity. CONCLUSIONS: Intraoperative use of ultrasound offers a real-time assessment of margin status and may reduce the margin positivity rate compared to conventional palpation-guided method.


How to cite this article:
Vispute T, Suhani, Seenu V, Parshad R, Hari S, Thulkar S, Mathur S. Comparison of resection margins and cosmetic outcome following intraoperative ultrasound-guided excision versus conventional palpation-guided breast conservation surgery in breast cancer: A randomized controlled trial.Indian J Cancer 2018;55:361-365


How to cite this URL:
Vispute T, Suhani, Seenu V, Parshad R, Hari S, Thulkar S, Mathur S. Comparison of resection margins and cosmetic outcome following intraoperative ultrasound-guided excision versus conventional palpation-guided breast conservation surgery in breast cancer: A randomized controlled trial. Indian J Cancer [serial online] 2018 [cited 2019 Dec 12 ];55:361-365
Available from: http://www.indianjcancer.com/article.asp?issn=0019-509X;year=2018;volume=55;issue=4;spage=361;epage=365;aulast=Vispute;type=0