Precision Breast Surgery - From Wire to Wire-free localization
Steven Cai, MD, FACS
Clinical Assistant Professor of Surgery
Mount Sinai Icahn School of Medicine
New York, NY
Understanding the benefits and disadvantages of different localization technique for excision non palpable breast excisions will assist patients in their cancer diagnosis journey.
Upon completion of this lecture, participants will be able to:
1. Evaluate the current practice of breast localization
2. Consider the available localization technologies to best suit ones practice
3. Improve patients satisfaction, outcomes and work flow for excision of nonpalpable breast lesion/cancers.
Release Date: 6/10/2024
Expiration Date: 6/9/2027
CONFLICT OF INTEREST DISCLOSURE
FACULTY/PROGRAM DIRECTOR
Steven Cai, MD, FACS
Consultant/Speaker - Hologic, Prelude Dx
All of the relevant financial relationships for these faculty have been mitigated by peer review completed by peers with no relevant financial relationships to disclose.
None of the other planners/faculty for this educational activity have a relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, or re-selling, or distributing healthcare products used by or on patients
ACCREDITATION
World Class CME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
World Class CME designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity may be available in multiple formats or from different sponsors. A self-learning activity can be completed only once per biennium
DISCLOSURE
World Class CME relies on its CME faculty to provide program content that is evidence-based and free of commercial bias. Therefore, in accordance with ACCME standards, any faculty, program director, reviewer and/or provider industry relationships will be disclosed and resolved. Speakers are required to openly disclose any limitations of data or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.
This activity is supported by an unrestricted educational grant from Hologic, Inc.
Instructions to Receive Credit: After viewing the video, click on the “Take the Quiz” button and complete the post-activity quiz. After completing the quiz, fill out the evaluation form and submit. Your CME certificate will then be emailed to you
References:
1. Cheang E, Ha R , Thornton C, Mango V. Innovations in image-guided preoperative breast lesion localization. Br J Radiol 2018 ; 91[1085] :
doi:10.1259/bjr.20170740
2. Dodd GD, Fry K, Delany W. Preoperative localization of occult carcinoma in the breast : Nealon TF, editor. , Management of the patient with cancer.
Philadelphia: The British Institute of Radiology.; 1966. 183.
3. Frank HA, Hall FM, Steer ML . Preoperative localization of nonpalpable breast lesions demonstrated by mammography.
N Engl J Med. 1976 Jul 29; 295(5):259-60.
4. Hall F, Kopans D, Sadowsk N, Homer M. Development of wire localization. Radiology. 268:3.doi.org/10.1148/radiol.13121943
5. Homer MJ. Transection of the localization hooked wire during breast biopsy.
AJR Am J Roentgenol. 1983 Nov; 141(5):929-30.
6. Yim JH, Barton PM, Weber B, Radford D, et al. Mammographically detected breast cancer. Benefits of stereotactic core vs. wire localization biopsy. Ann
Surg. 1996;223(6):688–700.
7. Abrahamson PE, Dunlap LA, Amamoo MA, Schell MJ, Braeuning MP, Pisano ED. Factors predicting successful needle-localized breast biopsy. Acad
Radiol. 2003;10:601–606.
8. Hayes MK. Update on preoperative breast localization. Radiol Clin North Am. 2017;55:591-603.
9. McGugin C, Spivey T, Coopey S, et al. Radiofrequency identification tag localization is comparable to wire localization for non-palpable breast
lesions. Breast Cancer Res Treat. 2019:1-5.
10. Shetty M. Presurgical Localization of Breast Abnormalities: An Overview and Analysis of 202 Cases
Indian Journal of Surg Oncol. 2010;1(4):278-283
11. Rissanen T, Makarainen H, Mattila S, Karttunen A, et al. Wire localized biopsy of breast lesions. A review of 425 cases found in screening or clinical
mammography. Clinical Radiology, 1993; 47(155): 14-22
12. Kacmarski, K, Et.Al., Surgeon Re-excision Rates After BCS: A Measure Of Low-value Care JACS 228:504 Apr 2019
13. Banys-Paluchowski, M. et al. Localization Techniques for Non Palpable Breast Lesions: Current status, Knowledge gaps, and rationale for MELODY
study (EUBREAST-4/iBRA-NET, NCT 05559411). Cancers. 2023. 1173.