Higher intraoperative detection rate of suspicious non-palpable lesions using wire marking in skin cancer patients
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View abstract on PubMed
Summary
This summary is machine-generated.Wire marking significantly improves the detection of non-palpable cancerous lesions in patients with skin tumors, enabling earlier diagnosis and potentially avoiding unnecessary surgeries.
Area Of Science
- Oncology
- Surgical Oncology
- Diagnostic Imaging
Background
- High-risk cutaneous tumors require vigilant follow-up for early metastasis detection.
- Surgery for non-palpable lesions presents significant challenges in accurate localization.
Purpose Of The Study
- To compare the efficacy of ultrasound-guided excision versus wire marking for locating non-palpable suspicious lesions in patients with malignant skin tumors.
- To evaluate the impact of these techniques on intraoperative detection rates, procedure duration, and complication rates.
Main Methods
- A retrospective monocenter study included 39 patients with non-palpable suspicious lesions.
- Patients underwent either ultrasound-guided excision (n=21) or pre-operative wire marking (n=18).
- Outcomes assessed included intraoperative lesion detection, procedure time, and complications.
Main Results
- Wire marking achieved a significantly higher intraoperative detection rate (100%) compared to ultrasound guidance (76%).
- No significant differences were observed in procedure duration or complication rates between the two methods.
- Malignant lesions removed via wire marking were significantly smaller, indicating earlier detection.
Conclusions
- Wire marking enhances the detection rate of non-palpable subcutaneous or lymphatic lesions.
- This technique facilitates earlier diagnosis of metastasis and can help prevent unnecessary complete lymph node dissection.
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