FIRAT MÜLKÜT, MEHMET ESER, AYTAÇ EMRE KOCAOĞLU, MEHMET MUSTAFA ALTINTAŞ, NOYAN İLHAN, CEM BATUHAN OFLUOĞLU
Southern Clinics of Istanbul Eurasia - 2023;34(1):12-17
INTRODUCTION: Breast cancer is the most commonly diagnosed malignancy and the second leading cause of cancer-related deaths in women. It is estimated that one in 11 women in developed societies, one in nine women in the UK, and one in eight women in the USA experience breast cancer at some point in their lives. Early diagnosis of breast cancer reduces mortality and morbidity. According that, in this retrospective study, the superiority of the radio-guided occult lesion localization (ROLL) method and the wire-guided localization(WGL) method to one another was investigated considering the data including lesion size, duration of surgical excision, surgical margin, and the need for re-resection in non-palpable lesions suspected of malignancy. METHODS: The study included 79 female patients who had non-palpable breast lesions and suspicious findings for malignancy on mammography and breast ultrasonography. The mark-ing was made on the operation day at the radiology clinic for all patients. All surgeries were performed under general anesthesia.All surgical operations were performed by the same surgeon, all markings were made by the same radiologist, and the material was prepared for ROLL by the same nuclear medicine clinic. Results: The specimen volume was 36.2±19.6 cc in the ROLL group and 40.8±22.8 cc in the WGL group (p=0.34). The duration of surgical excision was 13.2±4.2 min in the ROLL group and 18.2±6.7 min in the WGL group (p<0.001). The closest distance to the lesion was 4.5±3.0 mm in the ROLL group and 4.0±3.1 mm in the WGL group (p=0.52). Eight patients in the ROLL group and 14 patients in the WGL group required re-resection (p=0.07). No significant difference was found between the groups except for the duration of surgical excision. DISCUSSION AND CONCLUSION: n the ROLL method, the duration of the operation significantly shortens compared to WGL, and the re-resection rate is lower.
