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05-04-2022 | Original Article

An Audit on Oncological Safety with Magseed Localised Breast Conserving Surgery

Authors: Kirti Katherine Kabeer, S. Manoj Gowda, Zatinahhayu Mohd-Isa, Megan Jane Renner Thomas, Vallipuram Gopalan, Sadaf Jafferbhoy, Soni Soumian, Sankaran Narayanan, Robert Kirby, Sekhar Marla

Published in: Indian Journal of Surgical Oncology | Issue 3/2022

Abstract

Wire-localised wide local excision (W-WLE) has been standard of care for impalpable breast lesions. Logistics and risks of wire localisation can be challenging. Magseed-localised wide local excision (M-WLE) is an alternative to W-WLE. We compare safety parameters and length of hospital stay (LOS) in patients undergoing M-WLE to W-WLE. All M-WLEs performed at single institution over an 8-month period were included and compared to historic matched cohort of W-WLEs who would have been suitable for Magseed localisation. Data including patient demographics, successful placements, re-excision rates, tumour size, and length of stay (LOS) was analysed. Two hundred thirty-eight patients were included in the study. Cancers were safely excised in all cases. A significant difference in re-excisions rates favouring M-WLE group was seen (2.9% vs 10.4%). Median waiting time to surgery was significantly shorter in M-WLE group (4 h 15 min vs 7 h 3 min). No significant difference in median LOS between the two groups was seen. M-WLE has been shown to be oncologically safe and non-inferior to W-WLE with significantly lower re-excision rate. Reduced pre-operative waiting time in the M-WLE group will have a positive effect on patient journey. Further research should focus on potential impact on day-bed utilisation and theatre efficiency.

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Title: An Audit on Oncological Safety with Magseed Localised Breast Conserving Surgery
Authors: Kirti Katherine Kabeer
S. Manoj Gowda
Zatinahhayu Mohd-Isa
Megan Jane Renner Thomas
Vallipuram Gopalan
Sadaf Jafferbhoy
Soni Soumian
Sankaran Narayanan
Robert Kirby
Sekhar Marla
Publication date: 05-04-2022
Publisher: Springer India
Published in: Indian Journal of Surgical Oncology / Issue 3/2022
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI: https://doi.org/10.1007/s13193-022-01531-9

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An Audit on Oncological Safety with Magseed Localised Breast Conserving Surgery

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