Left Lumpectomy with Wireless Seed Localization for Ductal Carcinoma In Situ
Massachusetts General Hospital
Bridget N. Kelly
Carson L. Brown
Michelle C. Specht, MD
Operating Surgeon, MGH
The patient in this case is a 58-year-old postmenopausal woman who was seen for consultation regarding the management of newly-diagnosed ductal carcinoma in situ (DCIS) of the left breast detected on routine screening mammogram with no clinical or radiological evidence of lymph node involvement.
Breast-conserving surgery with radiation for early-stage breast cancers provides equivalent survival rates to mastectomy when all surgical margins are clear of residual cancer. For patients whose tumors are not palpable upon physical examination, preoperative localization of the malignant tissue to be removed is necessary.
In this video, Dr. Specht at MGH performs and narrates a lumpectomy using wireless seed localization to target the lesion and taking shave margins to reduce the risk of recurrence.