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Trial Title: Efficacy and Accuracy of Combined Localization Versus Single Localization in Non-palpable Breast Cancer

NCT ID: NCT05797454

Condition: Breast Cancer
Breast-conserving Surgery

Conditions: Official terms:
Breast Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: Wire-guided localization and marker clip localization
Description: Positioning guide wire and marker clip in the center of the lesion
Arm group label: Untreated patients-combined localization

Intervention type: Procedure
Intervention name: Wire-guided localization
Description: Positioning guide wire in the center of the lesion
Arm group label: Untreated patients-single localization

Summary: The standard method for localizing non-palpable breast cancer is currently preoperative wire-guided localization, its positive margin rate still remains around 20-50%. This study aims to compare the accuracy and efficacy of wire vs. combined breast tissue markers in localizing non-palpable breast cancer.

Detailed description: The standard method for localizing non-palpable breast cancer is currently preoperative wire-guided localization. This study aims to compare the accuracy and efficacy of wire vs. combined breast tissue markers in localizing non-palpable breast cancer.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. female patients, age≥18 year 2. A score of ≥ 2 on the Eastern Cooperative Oncology Group scale 3. Patients pathologically diagnosed with untreated breast cancer by core-needle biopsy, with histologically confirmed non-palpable in situ cancer, including pleomorphic lobular carcinoma in situ or invasive non-palpable breast cancer that required localization 4. Patients are willing to undergo breast conserving surgery and have no contraindications to breast conserving surgery. Exclusion criteria: 1. Inflammatory breast cancer or Paget's disease 2. Breast deformities and other conditions that impact breast conservation success rate 3. Patients with contraindications to breast-conserving surgery, as well as those with systemic diseases, mental disorders, or other subjective reasons that may affect their ability to participate in the trial. Patients with severe bleeding disorders or coagulation disorders were also excluded 4. Pregnancy or lactation 5. Patients with hookwire, radioactive 125I seed or other localization techniques in the breast cancer lesions before enrollment 6. Patients with stage IV diseases or unresectable lesions in either breast 7. Patients combined with other diseases that may affect survival 8. Patients with multicentric breast cancer lesions or lesions > 5 cm in diameter on imaging examinations 9. Patients who have previously undergone radical mastectomy for ipsilateral breast cancer or chest wall radiotherapy

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Address:
City: Guangzhou
Zip: 510120
Country: China

Status: Recruiting

Contact:
Last name: Gong Chang, doctor

Phone: 02034070499
Email: changgong282@163.com

Start date: February 17, 2023

Completion date: December 1, 2025

Lead sponsor:
Agency: Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Agency class: Other

Source: Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05797454

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