Experience with seed localization for nonpalpable breast lesions in a public health care system

Roshni Rao, Amy Moldrem, Venetia Sarode, John White, Matt Amen, Madhu Rao, Valerie Andrews, David M Euhus, Lee Radford, Michael Ulissey

Research output: Contribution to journalArticle

Abstract

Background: Seed localization uses a radioactive source to identify nonpalpable breast lesions for excision; it is an emerging alternative to wire localization (WL). Previous single health system studies report decreased rates of re-excision and improved patient convenience with this technique. This study is the first to implement this procedure in a public health care delivery system composed of a primarily minority and low-income population. Materials and Methods: A multidisciplinary team was formed to create a protocol for breast seed localization (BSL) and monitor the results. After 50 seed localizations were successfully completed, a retrospective matched-pair analysis with patients who had undergone WL during the same period was performed. Results: Overall experience with the BSL protocol is reviewed, along with the occurrence of a seed loss. Processes necessary to reactivate the BSL protocol and prevent future losses are delineated. BSL is associated with decreased rates of re-excision and can be successfully implemented in a public health care system. Conclusions: BSL is an attractive alternative to WL in a high-volume, county-based population. It allows increased efficiency in the operating room and has a low rate of complications. Cautionary measures must be taken to ensure proper seed chain of custody to prevent seed loss.

Original languageEnglish (US)
Pages (from-to)3241-3246
Number of pages6
JournalAnnals of Surgical Oncology
Volume17
Issue number12
DOIs
StatePublished - Dec 2010
Externally publishedYes

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Seeds
Breast
Public Health
Delivery of Health Care
Matched-Pair Analysis
Operating Rooms
Poverty
Health
Population

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Rao, R., Moldrem, A., Sarode, V., White, J., Amen, M., Rao, M., ... Ulissey, M. (2010). Experience with seed localization for nonpalpable breast lesions in a public health care system. Annals of Surgical Oncology, 17(12), 3241-3246. https://doi.org/10.1245/s10434-010-1139-4

Experience with seed localization for nonpalpable breast lesions in a public health care system. / Rao, Roshni; Moldrem, Amy; Sarode, Venetia; White, John; Amen, Matt; Rao, Madhu; Andrews, Valerie; Euhus, David M; Radford, Lee; Ulissey, Michael.

In: Annals of Surgical Oncology, Vol. 17, No. 12, 12.2010, p. 3241-3246.

Research output: Contribution to journalArticle

Rao, R, Moldrem, A, Sarode, V, White, J, Amen, M, Rao, M, Andrews, V, Euhus, DM, Radford, L & Ulissey, M 2010, 'Experience with seed localization for nonpalpable breast lesions in a public health care system', Annals of Surgical Oncology, vol. 17, no. 12, pp. 3241-3246. https://doi.org/10.1245/s10434-010-1139-4
Rao, Roshni ; Moldrem, Amy ; Sarode, Venetia ; White, John ; Amen, Matt ; Rao, Madhu ; Andrews, Valerie ; Euhus, David M ; Radford, Lee ; Ulissey, Michael. / Experience with seed localization for nonpalpable breast lesions in a public health care system. In: Annals of Surgical Oncology. 2010 ; Vol. 17, No. 12. pp. 3241-3246.
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