Our Summary

This study looked at how often a tool called a SCOUT reflector was used in breast biopsies, which are tests to check for breast cancer. The SCOUT reflector is placed inside the breast during the biopsy to help guide surgeons if surgery is needed later. Researchers found records of 121 breast biopsies where a SCOUT reflector was used. They found that in 64% of these cases, the reflector was used in surgery later on. A large majority of these biopsies (98%) showed signs of cancer or potential risk of cancer. The researchers also found that SCOUT reflectors were used more often in surgeries for smaller lumps, for patients who had no suspicious lymph nodes (small glands that filter harmful substances from the body), and for patients who had not been previously treated for breast cancer.

FAQs

  1. What is a SCOUT reflector and how is it used in breast biopsies?
  2. What percentage of breast biopsies using a SCOUT reflector showed signs of cancer or potential risk of cancer according to this study?
  3. In what type of cases were SCOUT reflectors more commonly used according to the research?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast biopsy is to ask about the possibility of using a SCOUT reflector during the procedure. This tool can help guide surgeons if surgery is needed later on, and may lead to more successful outcomes. It is important to discuss all options with your healthcare provider to ensure the best possible care for your individual situation.

Suitable For

Patients who are typically recommended for a breast biopsy include those who have a lump or mass in the breast that has been found during a physical exam or imaging test, patients with abnormal mammogram or ultrasound results, patients with changes in the nipple, skin, or shape of the breast, patients with a family history of breast cancer or genetic mutations that increase the risk of breast cancer, and patients who have had previous biopsies that showed abnormal or suspicious results.

Timeline

Before the breast biopsy:

  1. Patient may notice a lump or abnormality in their breast during a self-exam or through screening mammography.
  2. Patient visits their doctor who recommends a breast biopsy to further investigate the lump.
  3. Patient undergoes imaging tests such as ultrasound or MRI to locate the exact position of the lump.
  4. Patient may receive local anesthesia before the biopsy procedure.
  5. SCOUT reflector is placed inside the breast to mark the location of the abnormal tissue.

After the breast biopsy:

  1. Patient may experience some discomfort or pain at the biopsy site.
  2. Patient receives the biopsy results, which may indicate whether the tissue is cancerous or benign.
  3. If cancer is detected, patient may undergo further tests to determine the stage and extent of the cancer.
  4. Patient discusses treatment options with their healthcare team, which may include surgery, chemotherapy, radiation therapy, or hormone therapy.
  5. If surgery is recommended, the SCOUT reflector helps guide the surgeon to remove the cancerous tissue with precision.
  6. Patient undergoes surgery to remove the cancerous tissue.
  7. Patient undergoes follow-up care and monitoring to track their progress and ensure no recurrence of cancer.

What to Ask Your Doctor

  1. What is the purpose of using a SCOUT reflector during my breast biopsy?
  2. How often is a SCOUT reflector used in breast biopsies at this facility?
  3. What are the potential benefits of using a SCOUT reflector during my biopsy?
  4. What are the potential risks or complications associated with using a SCOUT reflector?
  5. How likely is it that the biopsy results will show signs of cancer or potential risk of cancer?
  6. If the biopsy results do show signs of cancer, how will the SCOUT reflector help guide surgeons during surgery?
  7. Are there any alternative methods or tools that could be used instead of a SCOUT reflector?
  8. How will the presence of a SCOUT reflector affect my recovery after surgery?
  9. Are there any specific precautions or restrictions I need to follow after the biopsy and/or surgery if a SCOUT reflector is used?
  10. Will the use of a SCOUT reflector impact my long-term prognosis or treatment plan for breast cancer, if diagnosed?

Reference

Authors: Dashevsky BZ, Muneer MS, Hao M, Liang T, Wapnir IL, Poplack SP. Journal: J Breast Imaging. 2024 Jul 30;6(4):347-354. doi: 10.1093/jbi/wbae024. PMID: 38776638