Page 6 - CAN-16-26153 - Cancer Institute 2015 Outcomes Report
P. 6
Breast Surgery Process
Improvement – Radioactive
Seed Localization
Wire localization (WL) is the most
commonly used image-guided
localization technique, requiring patients
to undergo placement of wire under
ultrasound or mammographic guidance
to mark the site of the lesion on the day
of the planned operation. This technique
has several limitations, including
discomfort for patients, limited choices
for skin incision for ideal cosmetic
outcomes, wire displacement during
transport, and delays in scheduling that
impact operating room efficiency.
Authors: Jeanette Doria, Sheri Hart- Background Radioactive seed localization (RSL) is an
Spicer, M.D., Harry Kellemeier, M.D., alternative WL. This technique involves
Lauren Kinsell, M.D., Melanie Lynch, As part of a three-phase strategy to improve inserting a titanium seed into the breast
M.D., Jennifer Pavlo, M.D., Ron Scala, the process for women undergoing lesion under ultrasound or stereotactic
Tim Zinsmeister outpatient image-guided breast surgery, guidance and use of an intra-operative
This is an abridged version of this study. Summa Health Cancer Institute adopted gamma probe to guide surgical resection.
Radioactive Seed Localization for image-
guided partial mastectomy and excisional Advantages of the RSL procedure include:
biopsies in 2015. • Ability to insert the seed prior to the day
The significant decrease in breast cancer of surgery;
mortality over the past 20 years can be • Higher reliability of placement,
attributed in part to early detection and
effective surgical management of image- compared to wire localization;
identified breast cancers. Approximately • Improved patient experience since the
35 percent of breast cancers cannot be felt
at diagnosis and require an image-guided patient does not need to travel from the
localization procedure when the surgical radiology department to the OR with a
treatment is to conserve the breast. wire protruding from the breast;
• Simplified surgical scheduling;
• Elimination of delays in the OR
associated with same-day procedures;
• Unlimited choice of incisions and
specimen orientation to ensure clear
margins of resection and optimal
cosmetic outcomes.
6 Cancer Institute
