ROLL Lumpectomy

Published Date: 19th July 2016

Publication Authors: , Chagla LS, Desmond S, Harris O, Poonawala S, Thind R, Jois RHS

​Background 

Occult breast lesions are being successfully targeted by means of Radioactive-guided Occult Lesion Localization (ROLL). Several reports demonstrate suitability of ROLL technique to excise non-palpable breast lesions with immediate advantages.

Aim 

Evaluation of long-term outcomes after ROLL guided lumpectomy for early breast cancer.

Materials and methods 

A consecutive series of non palpable early invasive breast cancers excised with ROLL (151 pts; December 2002–June 2006) were followed up for long-term outcomes, i.e. local and/or systemic recurrence.  Our follow-up protocol included 6 monthly physician administered clinical examinations and 18 monthly imaging, i.e. mammogram. Bone scan, liver and brain imaging were requested on clinical need. Clinical and/or radiological suspicious lesions for local recurrence were confirmed pathologically.

Results 

The median follow-up was 46 months with all patients having a minimum 22 months follow-up. 3/151 local recurrences occurred (1.98%).

Conclusions 

Long-term outcomes, i.e. local recurrence of invasive breast cancer excised with ROLL guidance compares well with existing localization techniques.

Ramesh, HSJ; Anguille, S; Poonawala, S; Harris, O; Desmond, S; Thind, R; Chagla, LS; Audisio, RA. (2010). Long-term outcomes after ROLL lumpectomy . Indian Journal of Surgical Oncology. 1 (1), 47-51

 

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