TABLE 2.
Study | Year | Country | Carcinoma type |
BCS | Age range |
n | Intraoperative reexcision ratea |
Reexcision rate finalb |
Sensitivity | Specificity | Time (min) |
False- positive cases |
False-negative cases |
LOE | Study type |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Barros et al.39 |
2004 | Brazil | IC | Quadrantectomy | 28–79 | 102 | 37 % (38) | 0 % (0) | – | – | 15–20 | 13: Atypical cells present |
10: Focal for DCIS (6), IC (3) and presence of carcinoma at margin in a single lymphatic space (1) |
2 | Prospective cohort |
Cox et al40 |
1997 | USA | DCIS | Lumpectomy | 30–82 | 104 | – | 0 % (1) | 99 % | 98 % | 2 | 1: Focal for DCIS | 1 | Prospective database |
|
D’Haulluin et al.41,c |
2009 | France | IDC, DCIS, ILC, LCIS |
Lumpectomy | 29–88 | 396 | 38.63 % (153) |
12.6 % (50) |
88.6 % | 92.2 % | 7–17 | 25: ILC (10.2 %), IDC histological grade 3 (5.6 %), fibricystic mastopathy lesions |
9: Contact with 1 margin (4), 2 mm away from margin (5). DCIS, size ≥30 mm, histological grade of 1 or 2. |
1 | Retrospective cohort |
Klimberg et al42 |
1998 | USA | DCIS, ILC | Lumpectomy | 22–86 | 428 | 1.4 % (6) | 0 % (0) | 96.4 % | 100% | 2–3 | None | 3: Focal for DCIS (2), LCIS (1). Thought to be missed by sampling error. |
1 | Prospective cohort |
Valdes et al.17,d |
2007 | USA | ILC | Lumpectomy | 12 | 33 % (4) | 8.3 % | 98.3 % | 15 | 1: Atypical lobular hyperplasia |
8: Focal for ILC (7) and ILC plus LCIS (1) |
2 | Prospective cohort |
||
Valdes et al.17,d |
2007 | USA | IDC | Lumpectomy | – | 61 | – | 23 % (14) | 65.7 % | 95.5 % | 15 | 4.10 % | 3.3 %, DCIS | 2 | Prospective cohort |
Weinberg et al.10 |
2004 | USA | DCIS, ILC, IDC |
Lumpectomy | – | 1,193 | – | 6.2 % (74) | – | – | 15 | – | – | 1 | Retrospective cohort |
Results | 104e | 26% (±21 %)f |
11 % (±4 %)f |
72 % (±38 %)f |
97 % (±3 %)f |
13 |
BCS breast conservation surgery, LOE level of evidence (SORT), IC invasive carcinoma, DCIS ductal carcinoma-in-situ, LCIS lobular carcinoma-in-situ, IDC invasive ductal carcinoma, ILC Invasive lobular carcinoma
During first BCS
After first BCS
Cross-publication
Publication used twice in analysis because of different study cohorts in same publication
Sample median
Pooled estimates