Version 1
: Received: 15 July 2024 / Approved: 15 July 2024 / Online: 15 July 2024 (17:17:38 CEST)
How to cite:
Drozgyik, A.; Szabó, T.; Kovács, G.; Kollár, D.; Molnár, T. F. A New Approach to Breast Specimen Orientation: Avoiding Pitfalls with the Specimen Plate Concept. Preprints2024, 2024071232. https://doi.org/10.20944/preprints202407.1232.v1
Drozgyik, A.; Szabó, T.; Kovács, G.; Kollár, D.; Molnár, T. F. A New Approach to Breast Specimen Orientation: Avoiding Pitfalls with the Specimen Plate Concept. Preprints 2024, 2024071232. https://doi.org/10.20944/preprints202407.1232.v1
Drozgyik, A.; Szabó, T.; Kovács, G.; Kollár, D.; Molnár, T. F. A New Approach to Breast Specimen Orientation: Avoiding Pitfalls with the Specimen Plate Concept. Preprints2024, 2024071232. https://doi.org/10.20944/preprints202407.1232.v1
APA Style
Drozgyik, A., Szabó, T., Kovács, G., Kollár, D., & Molnár, T. F. (2024). A New Approach to Breast Specimen Orientation: Avoiding Pitfalls with the Specimen Plate Concept. Preprints. https://doi.org/10.20944/preprints202407.1232.v1
Chicago/Turabian Style
Drozgyik, A., Dániel Kollár and Tamás F. Molnár. 2024 "A New Approach to Breast Specimen Orientation: Avoiding Pitfalls with the Specimen Plate Concept" Preprints. https://doi.org/10.20944/preprints202407.1232.v1
Abstract
Accurate specimen marking is crucial during breast cancer surgery to avoid misorientation, which can cause inadequate re-excision and tumor recurrence. We studied marking methods at various breast cancer centers to create a tool that prevents specimen misorientation.
An online questionnaire surveyed marking procedures at major breast cancer centers in Hungary, and a tool was developed using a troubleshooting method.
Twelve out of twenty units responded (60\%). Nine use an institutionally standardized marking system. Only half of the surgical teams had clear specimen mammography images. Pathologists were unsure of specimen orientation in 5–10\% of cases in over 75\% of departments. Ambiguous marking methods caused orientation errors in half the cases, while unclear marking directions caused the rest. Most pathologists (85\%) and surgeons (75\%) believed that coronal plane specimen mammography would help solve the problem. A plastic specimen plate was developed to anchor breast tissue to a coronal breast scheme seen in mammographic images, providing clear localization information throughout the surgery process.
There is a lack of standardization in breast specimen orientation and marking in Hungary. An optimized orientation toolkit is being developed to ensure consistent interpretation of specimen mammograms by surgeons and pathologists.
Keywords
Breast cancer; Resection Margins; Specimen orientation
Subject
Medicine and Pharmacology, Surgery
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
