Our Summary

This study compared two different methods for locating and removing hard-to-find breast lumps (nonpalpable breast lesions) during breast-conserving surgery. The first method, needle/wire localization (NL), uses a needle or wire to mark the place of the lump. The second method, hematoma-directed ultrasound-guided (HUG) lumpectomy, uses ultrasound guidance to find the lump and a needle biopsy as a marker for surgery. The study found that the HUG method was not only safer and more accurate, but also saved money. In fact, it saved about $497 per procedure, adding up to a total saving of $94,430 over the course of the study. The HUG method also improved the patient’s experience, as it eliminated the need for a painful second procedure on the day of the operation.

FAQs

  1. What are the two methods compared in this study for locating and removing hard-to-find breast lumps during breast-conserving surgery?
  2. How does the hematoma-directed ultrasound-guided lumpectomy method improve patient experience and save money?
  3. How much money was saved per procedure using the hematoma-directed ultrasound-guided lumpectomy method, according to the study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about lumpectomy is to ask about the hematoma-directed ultrasound-guided (HUG) lumpectomy method as it may be safer, more accurate, and less costly compared to traditional needle/wire localization. This method can also improve the patient’s experience by reducing the need for a second procedure on the day of the operation. It is important to discuss all available options with your healthcare provider to determine the best approach for your individual situation.

Suitable For

Patients who are typically recommended lumpectomy include those with early-stage breast cancer, noncancerous (benign) breast lumps, or abnormal findings on breast imaging tests (such as mammograms or ultrasounds) that require further evaluation. Lumpectomy may also be recommended for patients who have a high risk of developing breast cancer and are undergoing prophylactic (preventive) surgery. Additionally, lumpectomy may be recommended for patients who prefer breast-conserving surgery over mastectomy (removal of the entire breast).

Timeline

Before Lumpectomy:

  1. Patient undergoes imaging tests, such as mammograms or ultrasounds, to detect the presence of a breast lump.
  2. If a nonpalpable lump is found, the patient may undergo a biopsy to confirm the presence of cancerous cells.
  3. Once the lump is confirmed, the patient and their healthcare team discuss treatment options, including lumpectomy.
  4. The patient may undergo pre-operative tests and evaluations to ensure they are healthy enough for surgery.

After Lumpectomy:

  1. The patient undergoes the lumpectomy procedure, where the breast lump is removed.
  2. After the surgery, the patient may experience pain, swelling, and discomfort in the breast area.
  3. The patient may be discharged from the hospital the same day or after a short hospital stay, depending on the extent of the surgery.
  4. The patient may need to follow up with their healthcare team for post-operative care, including monitoring for any signs of infection or complications.
  5. The patient may also undergo further treatment, such as radiation therapy, to ensure the complete removal of cancerous cells and reduce the risk of recurrence.

What to Ask Your Doctor

  1. What is the difference between needle/wire localization (NL) and hematoma-directed ultrasound-guided (HUG) lumpectomy?
  2. Is HUG lumpectomy a suitable option for my specific type of nonpalpable breast lesion?
  3. How does the accuracy and safety of HUG lumpectomy compare to NL lumpectomy?
  4. Are there any potential complications or risks associated with HUG lumpectomy?
  5. How will HUG lumpectomy impact my recovery time and post-operative care compared to NL lumpectomy?
  6. Will HUG lumpectomy result in a better cosmetic outcome compared to NL lumpectomy?
  7. Are there any additional costs associated with opting for HUG lumpectomy over NL lumpectomy?
  8. How experienced are you and your team in performing HUG lumpectomy procedures?
  9. Can you provide me with any additional information or resources about HUG lumpectomy to help me make an informed decision?
  10. Are there any alternative treatment options I should consider before deciding on HUG lumpectomy?

Reference

Authors: Merrill AY, Ochoa D, Klimberg VS, Hill EL, Preston M, Neisler K, Henry-Tillman RS. Journal: Ann Surg Oncol. 2018 Oct;25(10):3076-3081. doi: 10.1245/s10434-018-6596-1. Epub 2018 Aug 15. PMID: 30112589