Accurately locating non-palpable breast tumors has long been a challenge for breast surgeons. Oncology Central recently interviewed breast surgical oncologist Pat Whitworth, MD, Director of the Nashville Breast Center. In the article, Dr. Whitworth cites the introduction of the SAVI SCOUT® surgical guidance system as one of the biggest advancements in breast tumor localization. Dr. Whitworth credits SCOUT with improving surgical efficiency as well as the patient experience.
For many years, our best option [for locating non-palpable tumors] was wire localization – literally placing a wire into the patient’s breast prior to surgery. With IOUS [intraoperative ultrasound], you can get much better guidance than just guessing where the wire is and trying to dissect down to it, [but] IOUS guidance is cumbersome: You have to remove your retractor, turn the lights down, stop to get a look, put the ultrasound probe down, put your retractor back in place.
“In terms of improving surgical efficiency, one of the biggest advances we’ve seen this year is the introduction of the SAVI SCOUT breast localization and surgical guidance system.“
In terms of improving surgical efficiency, one of the biggest advances we’ve seen this year is the introduction of the SAVI SCOUT breast localization and surgical guidance system. With SCOUT, everything is retracted and held in place. I can be ready to make the next cut through the tissue, grab the handpiece and make the cut more precisely in reference to the target.
I find SCOUT to be more precise guidance due to the immediate, real-time feedback on the target location as the dissection proceeds. This adds to my confidence tremendously. With the reflector in position, you get feedback through the entire duration of the case. I’m less concerned about getting to target tissue and not having to take too much extra normal tissue just to be sure of capturing the target, because I know I can get right down to it, even if it’s in the back of the breast.
The SAVI SCOUT reflector can be put in up to seven days before surgery at the patient’s convenience – it doesn’t have to be on the day of the procedure. Patients don’t have to walk around with a wire sticking out of the breast; it’s convenient and more comfortable for patients.