Breast Margin Study: Routine Cavity Shave Margins Vs. Selective Margins Using Savi Scout®
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 32
- 试验地点
- 3
- 主要终点
- Determine the difference in positive margin rate between the two methods.
研究概览
简要总结
This is a prospective study comparing partial mastectomy performed with routine cavity shave margins and Savi Scout® localization to partial mastectomy performed with selective margins and Savi Scout® localization. The primary objective is to determine the difference in positive margin rate between the two methods. The secondary objectives are to determine the differences in the rate of re-excision, volume of tissue extracted and Breast-Q® score between the two methods. It is hypothesized that the Savi Scout® will allow for decreased volume of tissue excised when compared to routine cavity shave margins without any difference in positive margin rate or rate of re-excision.
详细描述
Over a period of 24 months, this study will recruit 204 women 18 years and older with stage I-II breast cancer or stage 0 DCIS that have been diagnosed by core needle biopsy and are planning to receive breast conserving surgery.
After obtaining consent, the patient will be asked to complete the Breast-Q® questionnaire which should take about 10-15 minutes for the patient to complete. The patient will then be randomized in a 1:1 fashion to:
Arm 1: Partial mastectomy with Savi Scout® localization and routine cavity shave margins
Arm 2: Partial mastectomy with Savi Scout® localization and selective shave margins.
Arm 1 and 2 patients will undergo preoperative Savi Scout® reflector placement under image guidance per routine care. The surgeons will be instructed to perform a partial mastectomy with routine cavity shave margins using Savi Scout® or partial mastectomy with selective margins using Savi Scout®. The lesion will be removed in the routine fashion. For patients in arm 1, the surgeons will use the Savi Scout® to perform routine cavity shave margins by extracting superior, lateral, inferior, medial, anterior, and posterior margins. For patients in arm 2, the Savi Scout® localizer will be utilized to determine selective shave margins by examining the same margins on the excised tissue specimen. The surgeon will obtain selective margins if the margin of the tissue specimen is within 1mm of invasive cancer and 2mm within DCIS. All surgeons participating in the study will undergo an educational session to ensure consistency.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women 18 years and older, and
- •With Clinical stage I-II invasive breast cancer, or Stage 0 DCIS, and
- •That have been diagnosed by means of core needle biopsy appropriate for breast conserving therapy, and
- •Present to Cleveland Clinic Akron General.
- •Subjects must have pathologically confirmed breast carcinoma or ductal carcinoma in situ.
- •Performance status: ECOG 0-1
- •Subjects must have the ability to understand and the willingness to sign a written informed consent document.
- •Patients may have received or may be receiving endocrine therapy.
排除标准
- •Pregnant women
- •Patients who have received neoadjuvant chemotherapy for current cancer diagnosis.
- •Patients with current diagnosis of synchronous bilateral breast cancer. (A diagnosis of breast cancer at least one year prior to current cancer diagnosis is acceptable.)
- •Patients < 18 years of age.
研究组 & 干预措施
Arm 1
Partial mastectomy with Savi Scout® localization and routine cavity shave margins
干预措施: Arm 1 Partial mastectomy with Savi Scout® localization and shave margins. (Procedure)
Arm 2
Partial mastectomy with Savi Scout® localization and selective shave margins.
干预措施: Arm 2 Partial mastectomy with Savi Scout® localization and selective shave margins. (Procedure)
结局指标
主要结局
Determine the difference in positive margin rate between the two methods.
时间窗: 24 months
The primary objective is to determine the difference in positive margin rate between the two methods.
次要结局
- Difference in the BREAST-Q® Version 2.0 Breast Conserving Therapy Module Pre- and Postoperative Scales(24 months)
- Difference in the rate of re-excision between the two methods.(24 months)
- Difference in the volume of tissue extracted between the two methods.(24 months)