ABS ePoster Library

Analysis of Patient Anxiety related to Magseed and Guide-wire localisation techniques
Association of Breast Surgery ePoster Library. small s. 05/13/19; 257198; P156
Ms. sarah small
Ms. sarah small
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Abstract
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P156
Topic: Surgical techniques

Introduction: The mental health burden amongst woman with breast cancer
extends beyond their initial diagnosis throughout the breast cancer journey. 50%
of all newly diagnosed cancers are impalpable increasing demand for accurate tumour
localisation. Historically achieved by wire localisation on the
morning of surgery, new techniques of non-radioactive magnetic (MAG)
seed localisation have become available which may be placed up to 30 days in
advance of surgery.AIM:To evaluate patterns of pre-operative anxiety with magseed and
guide-wire localisation in consecutive surgical patients with screen- detected
and symptomatic breast lesions. Methods :Thirty-one consecutive women within the Southern Trust
presenting with screening or symptomatic cancers undergoing breast conserving
surgery after tumour localisation were enrolled between September and November
2018. With a single measure over time, standardised State-trait anxiety
questionnaires were administered with verbal consent.
Scale based question analysis were used to determine patterns of association
between anxiety related focally to method of localisation. RESULTS: Thirty-one consecutive patients were enrolled prospectively.
3 patients with incomplete data were excluded from analysis. The population
data analysed included 14 wire guided and 14 mag-seed localisation patients. The
population mean age was 64 with a mean interval from seed placement to surgery of
9 days. Scale based average scores for each localisation population were 41 for
wire localisation and 36 for magseed localisation respectively. CONCLUSIONS: Higher scores positively correlated higher anxiety with wire
guided localisation. Magseed localisation for non-palpable breast tumours may result
in lower patient anxiety pre-operatively when compared to guide wire
localisation.
P156
Topic: Surgical techniques

Introduction: The mental health burden amongst woman with breast cancer
extends beyond their initial diagnosis throughout the breast cancer journey. 50%
of all newly diagnosed cancers are impalpable increasing demand for accurate tumour
localisation. Historically achieved by wire localisation on the
morning of surgery, new techniques of non-radioactive magnetic (MAG)
seed localisation have become available which may be placed up to 30 days in
advance of surgery.AIM:To evaluate patterns of pre-operative anxiety with magseed and
guide-wire localisation in consecutive surgical patients with screen- detected
and symptomatic breast lesions. Methods :Thirty-one consecutive women within the Southern Trust
presenting with screening or symptomatic cancers undergoing breast conserving
surgery after tumour localisation were enrolled between September and November
2018. With a single measure over time, standardised State-trait anxiety
questionnaires were administered with verbal consent.
Scale based question analysis were used to determine patterns of association
between anxiety related focally to method of localisation. RESULTS: Thirty-one consecutive patients were enrolled prospectively.
3 patients with incomplete data were excluded from analysis. The population
data analysed included 14 wire guided and 14 mag-seed localisation patients. The
population mean age was 64 with a mean interval from seed placement to surgery of
9 days. Scale based average scores for each localisation population were 41 for
wire localisation and 36 for magseed localisation respectively. CONCLUSIONS: Higher scores positively correlated higher anxiety with wire
guided localisation. Magseed localisation for non-palpable breast tumours may result
in lower patient anxiety pre-operatively when compared to guide wire
localisation.
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