A Randomized Prospective Comparison of Patient‐Assessed Satisfaction and Clinical Outcomes with Radioactive Seed Localization versus Wire Localization

• DOI: 10.1111/tbj.12564
• Publication Date: 2015-12-23T09:57:18Z
• Authors: Erica V. Bloomquist; Nicolas Ajkay; Sujata Patil; Abigail E. Collett; Thomas G. Frazier; Andrea V. Barrio
• Keywords: Pain; Breast Neoplasms; Personal Satisfaction; Middle Aged; 3. Good health; 03 medical and health sciences; Postoperative Complications; Treatment Outcome; 0302 clinical medicine; Fiducial Markers; Humans; Female; Radionuclide Imaging; Mastectomy; Mastodynia; Aged

Radioactive seed localization (RSL) has emerged as an alternative to wire (WL) in patients with nonpalpable breast cancer. Few studies have prospectively evaluated patient satisfaction and outcomes RSL. We report the results of a randomized trial comparing RSL WL our community hospital. enrolled 135 cancer between 2011 2014. Patients were or WL. rated pain convenience on 5-point Likert scale. Characteristics compared groups. Of enrolled, 10 excluded (benign pathology, palpable cancer, mastectomy, previous ipsilateral cancer) resulting 125 patients. Seventy (56%) 55 (44%) Fewer group reported moderate severe during procedure (12% versus 26%, respectively, p = 0.058). The overall was very good excellent 85% 44% (p < 0.0001). There no difference volume main specimen 0.67), first surgery rate positive margins 0.53) resulted less higher WL, comparable excision margin rates. High provides another incentive for surgeons strongly consider