None listed
Conditions
Brief summary
This study is examining if the use of a PET probe during surgery for DCIS or breast cancer can accurately determine if all of the cancer cells have been removed. Currently 20% of patients require a second operation due to potential remaining cancer cells in the breast. Identification of these cells at the time of the first operation may reduce the number of women requiring second operations. This will have an impact on the patient (time & distress) and the health care system.
Interventions
This multidisciplinary one year study will consist of a cohort of 60 patients who have ductal carcinoma in situ (DCIS) or invasive breast cancer, as confirmed by biopsy. Thirty minutes prior to theatre, the patient is injected with 150MBq of f18flurodeoxyglucose (FDG) through a cannula placed in the contra-lateral arm to the breast of interest. Once the specimen has been surgically removed and orientated, the Surgeon will use the beta probe to record counts within the surgical cavity, recording the same orientated surfaces as for the excised tissue. The excised tissue will be orientated and the counts recorded for each of the six surfaces (superior, inferior, medial, lateral, superficial, deep) using the beta probe. The gamma probe will then be used over the excised tissue to verify the sample contains FDG positive tissue. In this initial study there would be no action taken on these findings.
Sponsors
Eligibility
Inclusion criteria
1. Patient with newly diagnosed DCIS or invasive carcinoma of the breast; 2. Planned to undergo surgical wide local excision; 3. Able to provide informed consent.
Exclusion criteria
1. Planned mastectomy or neoadjuvant therapy; 2. Uncontrolled diabetes mellitus; 3. Pregnant at the time of surgery; 4. Unable to provide informed consent.