[Intraoperative ultrasound-guided breast-conserving surgery]
Maltais A, Lessard J
Record ID 32015001022
French
Authors' recommendations:
The identified scientific literature on the efficacy of intraoperative ultrasound-guided breast- conserving surgery is sparse. Two systematic reviews with meta-analyses, one randomized clinical trial, seven retrospective cohort studies, and six case series were selected. These studies are of varying quality.
These data lead to the conclusion that intraoperative ultrasound is equivalent to wire-guided localization for the excision of nonpalpable tumours and superior to palpation for palpable tumours in terms of safety and efficacy when this examination is performed by specifically trained surgeons. Further evidence in terms of data quality is, however, needed to provide stronger support for these conclusions. Furthermore, intraoperative ultrasound offers certain other advantages, mainly over wire-guided localization. For example, the omission of the preoperative step necessary for inserting the wire could, among other things, facilitate the medical teams' work organization and reduce patient anxiety. However, these secondary advantages, too, are based on a small body of low-quality data.
Details
Project Status:
Completed
Year Published:
2015
URL for published report:
http://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/Oncologie/INESSS_Chirurgie_mammaire_par_echographie.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Ultrasonography, Interventional
- Breast
- Breast Neoplasms
- Mastectomy, Segmental
Contact
Organisation Name:
Institut national d'excellence en sante et en services sociaux
Contact Address:
L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name:
demande@inesss.qc.ca
Contact Email:
demande@inesss.qc.ca
Copyright:
©Gouvernement du Québec/Institut national d'excellence en santé et en services sociaux
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