Cosmetic outcomes following wide local excision of impalpable breast cancer: is radioguided occult lesion localization using iodine‐125 seeds better than hookwire localization?

Abstract Background Hookwire localization (HWL) is the gold standard for localizing impalpable tumours breast conserving surgery. An alternative technique, radioguided occult lesion using iodine‐125 seeds (ROLLIS), has been associated with lower re‐excision rates. This paper investigates if cosmetic outcomes differ in women undergoing surgery HWL or ROLLIS. Methods Women who had ROLLIS guided excision cancer within a multicentre randomized controlled trial (RCT) (ANZCTR 12613000655741) were recruited. Exclusions level 2 oncoplasty and mastectomy. Cosmetic outcome was calculated BCCT.core, Hopwood Body Image Scale estimated percentage volume excised. Chi‐squared analysis used to determine difference between intervention groups. Results Analysis performed 123 participants (66 57 HWL). The determined by BCCT.core all good no significant When reviewing number of patients experienced either excellent result, there significantly higher group ( n = 53, 82%) compared 42, 74%, P 0.02. There differences excised reduction frequency 3, 4.5%) versus 8, 14%); however, this not 0.06). Conclusion Pre‐operative lesions resulted techniques.