Breast surgical specimen radiographs: How reliable are they?

Abstract Radiography of the excised surgical specimen following wire guided localisation of impalpable breast lesions is standard surgical practice. The aims of the study were to establish the reliability of the breast specimen radiograph (SR) in determining lesion excision and to determine whether...

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Bibliographic Details
Published in:European journal of radiology 2011-08, Vol.79 (2), p.245-249
Main Authors: Britton, P.D, Sonoda, L.I, Yamamoto, A.K, Koo, B, Soh, E, Goud, A
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biopsy
Breast cancer
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Carcinoma, Ductal, Breast - diagnostic imaging
Carcinoma, Ductal, Breast - pathology
Carcinoma, Ductal, Breast - surgery
Female
Fiducial Markers
Gynecology. Andrology. Obstetrics
Humans
Mammary gland diseases
Mammography
Medical sciences
Middle Aged
Neoplasm Invasiveness
Radiograph
Radiology
Reproducibility of Results
Retrospective Studies
Surgery
Tumors
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Summary:Abstract Radiography of the excised surgical specimen following wire guided localisation of impalpable breast lesions is standard surgical practice. The aims of the study were to establish the reliability of the breast specimen radiograph (SR) in determining lesion excision and to determine whether the radiographic margin correlated with the histological margin. The clinical, imaging, SR and pathological details of 106 patients with a pre-operative diagnosis of breast cancer were retrospectively reviewed. The reliability of orientation was estimated and the appearance and distance from the mammographic abnormality to each radial margin were measured and correlated with surgical histological findings. The overall accuracy of the specimen radiograph in determining whether the mammographic lesion was present was 99%. The SR could be orientated “very reliably” or “reliably” in 80% of patients however in only 48% of patients did the closest margin on the SR correspond with the same nearest margin at final histology. A maximum measurement of 11 mm or more from the lesion to the specimen edge was associated with a 77% likelihood of having a clear final histological margin (taken as 5 mm or more) and if
ISSN:0720-048X
1872-7727
DOI:10.1016/j.ejrad.2010.02.012