Intraoperative sonography for nonpalpable breast lesions: Additional indications for a consolidate technique

Breast J. 2020 Mar;26(3):479-483. doi: 10.1111/tbj.13575. Epub 2019 Sep 16.

Abstract

This prospective study evaluated the intraoperative ultrasound scan (IUSS) for nonpalpable breast lesions' detection. A total of 108 consecutive female patients underwent surgery using IUSS: Frozen sections demonstrated clear margins in 95.5% of neoplastic patients. Only four (4.5%) patients underwent local re-excision in the same operation. IUSS demonstrated to be quick, accurate, useful, effective, and safe for the intraoperative management of neoplastic nonpalpable breast lesions when performed by a surgeon who has undergone US training, particularly for people in whom alternative approaches can show some limitations due to contraindications or because of scheduling constraints, costs, and patient discomfort.

Keywords: breast cancer; intraoperative study; nonpalpable breast lesion; ultrasound.

MeSH terms

  • Breast
  • Breast Neoplasms* / diagnostic imaging
  • Breast Neoplasms* / surgery
  • Female
  • Humans
  • Mastectomy, Segmental*
  • Prospective Studies
  • Ultrasonography, Mammary