Table 3.
Technique | Rate of adequate margins | Disadvantages |
---|---|---|
Carbon marking | 81.1% | Possible foreign-body reactions mimicking malignancy on follow up; obstruction of needle tip due to charcoal precipitation. |
Wire-guided | 70.8–87.4% | Wire dislodgment; vasovagal episodes; pneumothorax. |
ROLL | 75–93.5% | Possible widespread dispersal of the tracer by accidental intraductal injection; nuclear medicine department required; for experienced surgeons; expensive. |
Clip marker | 90–92% | Clip migration. |
US-guided | 89–97% | DCIS rarely visible on US if not marked with a clip or hematoma. |
Cavity shave | 91.3–94.4% | Long operative times. |
Imprint cytology and frozen section analysis | 89–91% | Sensibility equal to 72–83%; possible difficult interpretation by pathologist due to presence of irregular specimen's surfaces or atypical cells; long operative times. |