射频识别,放射性种子和电线定位技术的比较,用于非可触摸的乳腺癌
Kyle R Stephens1, Lexina Patel1, Danial A Malik1
1The Hiram C Polk Jr, MD Department of Surgery, University of Louisville School of Medicine, Louisville, KY.
Journal of the American College of Surgeons
|February 27, 2025
概括
射频识别 (RFID),放射性种子定位 (RSL) 和电线定位 (WL) 在非触摸性乳腺癌的初级手术结果中没有差异. 二次结果各不相同,影响了患者和外科医生的满意度.
科学领域:
- 手术瘤学手术瘤学
- 乳房手术 乳房手术
- 医疗器械 医疗器械
背景情况:
- 精确切除非触摸性乳腺癌 (NPBC) 对于乳腺保护手术至关重要.
- 存在多种本地化技术,但对结果的比较数据有限.
研究的目的:
- 为了比较三个乳腺癌定位技术的外科结果:射频识别 (RFID),放射性种子定位 (RSL) 和电线定位 (WL).
主要方法:
- 777名患者 (2015-2022) 的回顾性图表审查,这些患者接受了RFID,RSL或WL的淋巴切除术.
- 对人口和瘤特征的评估.
- 分析主要结果 (病理边缘状态,再手术率) 和次要结果 (DCIS接近边缘,样品体积,设备到边缘的距离,手术时间,手术内剃须边缘).
主要成果:
- 在这三种技术中,正利率或再操作率没有显著差异.
- 射频识别 (RFID) 与更大的样本体积和更大的设备到样本边缘距离有关.
- 与线路定位 (WL) 相比,放射性种子定位 (RSL) 显示了手术内选择性剃须边缘的较低率和样本体积的减少.
结论:
- 虽然像利率状况这样的初级结果是可比的,但在本地化技术中,二级结果显著不同.
- 样品体积,手术时间和边缘距离的这些差异可能会影响患者和外科医生的整体满意度.
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