Long-term outcomes after ROLL lumpectomy

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. © 2010 Indian Association of Surgical Oncology.