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首页> 外文期刊>Cancer and Clinical Oncology >Initial Community Hospital Performance of Radioactive Seed Localization for Breast Cancer Patients
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Initial Community Hospital Performance of Radioactive Seed Localization for Breast Cancer Patients

机译：乳腺癌患者放射性种子定位的最初社区医院表现

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Purpose: To compare the positive margin rates for women with nonpalpable breast tumors who underwent breast conserving surgery with wire localization versus those with radioactive seed localization in a small community hospital and to compare the size of the corresponding breast specimens.Introduction: Wire localization (WL) has been the standard technique to assist in the removal of nonpalpable breast tumors for the past three decades for patients undergoing breast conserving surgery. Radioactive seed localization (RSL) is an alternative technique that provides advantages of patient comfort and scheduling convenience. There are numerous studies from large academic centers, but little information on how successfully this technique can be implemented in community hospitals.Methods:???????? Thirty-five patients who underwent WL between September 18, 2013 and December 10, 2014 were compared to 110 patients who underwent RSL between February 12, 2014 and December 16, 2015. Results: Three of the 35 WL patients (8.5%) had a positive margin compared to 14 of the 110 RSL patients (12.7%), but this difference was not statistically significant (p-value 0.763). The breast specimen weight had a geometric mean of 30.26 g for the WL patients and 32.78 g for the RSL patients, a difference of 8.3%, which was not statistically significant. Positive margin rates did not depend on the surgeon or the radiologist placing the I-125 localization seed.Conclusion: The RSL technique can be implemented in community hospitals with the expectation of having the same positive margin rates as reported from academic centers.
机译：目的：比较在一家小型社区医院中接受金属丝定位保乳手术与放射性种子定位的不易触及的乳腺肿瘤女性的阳性切缘率，并比较相应乳房标本的大小。 ）是过去三十年来协助进行保乳手术的患者去除无法触及的乳腺肿瘤的标准技术。放射性种子定位（RSL）是一种替代技术，可为患者带来舒适度和调度便利性。大型学术中心进行了大量研究，但是关于在社区医院中如何成功实施该技术的信息很少。将2013年9月18日至2014年12月10日接受WL治疗的35例患者与2014年2月12日至2015年12月16日进行RSL接受治疗的110例患者进行了比较。结果：35例WL患者中有3例（8.5％）接受了WL与110例RSL患者中的14例（12.7％）相比，阳性切缘阳性，但这一差异在统计学上无统计学意义（p值0.763）。 WL患者的乳腺标本重量的几何平均值为30.26 g，RSL患者的乳腺标本重量的几何平均值为32.78 g，相差8.3％，差异无统计学意义。阳性边际率不取决于外科医生或放射科医生放置I-125定位种子的结论。结论：RSL技术可以在社区医院中实施，期望与学术中心报告的阳性边际率相同。

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