Breast Margin Study: Routine Cavity Shave Margins Vs. Selective Margins Using Savi Scout®
NCT05825482 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 204
Last updated 2026-04-08
Summary
This is a prospective study comparing partial mastectomy performed with routine cavity shave margins and Savi Scout® localization to partial mastectomy performed with selective margins and Savi Scout® localization. The primary objective is to determine the difference in positive margin rate between the two methods. The secondary objectives are to determine the differences in the rate of re-excision, volume of tissue extracted and Breast-Q® score between the two methods. It is hypothesized that the Savi Scout® will allow for decreased volume of tissue excised when compared to routine cavity shave margins without any difference in positive margin rate or rate of re-excision.
Conditions
Interventions
- PROCEDURE
-
Arm 1 Partial mastectomy with Savi Scout® localization and shave margins.
Patients will undergo preoperative Savi Scout® reflector placement under image guidance per routine care. Patients will undergo randomization. With Arm 1 randomization, the surgeons will be instructed to perform a partial mastectomy with routine cavity shave margins using Savi Scout® localization. The lesion will be removed in the routine fashion. The surgeons will use the Savi Scout® to perform routine cavity shave margins by extracting superior, lateral, inferior, medial, anterior, and posterior margins.
- PROCEDURE
-
Arm 2 Partial mastectomy with Savi Scout® localization and selective shave margins.
Patients will undergo preoperative Savi Scout® reflector placement under image guidance per routine care. Patients will undergo randomization. With Arm 2 randomization, the surgeons will be instructed to perform a partial mastectomy with selective margins shave margins using Savi Scout®. The lesion will be removed in the routine fashion. The Savi Scout® localizer will be utilized to determine selective shave margins by examining the same margins on the excised tissue specimen. The surgeon will obtain selective margins if the margin of the tissue specimen is within 1mm of invasive cancer and 2mm within DCIS.
Sponsors & Collaborators
-
Case Comprehensive Cancer Center
lead OTHER
Principal Investigators
-
Andrew Fenton, M.D. · Cleveland Clinic Akron General, Case Comprehensive Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-17
- Primary Completion
- 2026-08-31
- Completion
- 2026-08-31
Countries
- United States
Study Locations
More Related Trials
-
Impact of Systematic Shaving on Margins
NCT05782686 ·Status: RECRUITING ·Phase: NA
-
Long Term Use of SAVI SCOUT: Pilot Study
NCT03015649 ·Status: COMPLETED ·Phase: NA
-
Local and Regional Radiotherapy for Nipple Sparing Mastectomy With Implant
NCT05213962 ·Status: ENROLLING_BY_INVITATION
-
Prospective Trial of Subcutaneous Versus Subpectoral 2-Staged Implant-Based Breast Reconstruction
NCT02775409 ·Status: COMPLETED ·Phase: NA
-
Comparing Vacuum-Assisted Percutaneous Excision to Open Surgical Excision for Borderline or High-Risk Breast Lesions
NCT03868475 ·Status: WITHDRAWN ·Phase: NA
-
Evaluating and Comparing Two Surgical Methods for Treatment of Early Stage Breast Cancer
NCT01271738 ·Status: COMPLETED ·Phase: NA
-
Surgical and Patient Reported Outcomes of Robotic Nipple-Sparing Mastectomy
NCT04151368 ·Status: SUSPENDED ·Phase: NA
-
Robotic Versus Conventional or Endoscopic Nipple Sparing Mastectomy in the Management of Breast Cancer-Prospective Study
NCT04037852 ·Status: UNKNOWN ·Phase: NA
-
Robotic Versus Conventional or Endoscopic Nipple Sparing Mastectomy for Breast Cancer
NCT04049305 ·Status: UNKNOWN ·Phase: NA
-
Wide Margin vs. Narrow Margin in Postneoadjuvant Lumpectomy
NCT03417622 ·Status: RECRUITING ·Phase: PHASE3
-
Evaluation of SOMAVAC 100 Sustained Vacuum System
NCT04845256 ·Status: COMPLETED
-
Comparing Patient Reported Outcomes and Clinical Outcomes Based on Different Scar Placement in Patients Undergoing Standard Breast Conserving Surgery for Breast Cancer: The PROM-S Study.
NCT07116642 ·Status: RECRUITING
-
Study to Evaluate Surgical Excision Margins in Malignant Breast Lumpectomies With the PEAK PlasmaBlade
NCT00972010 ·Status: COMPLETED
-
Robotic-Assisted da Vinci System Prophylactic Nipple-Sparing Mastectomy
NCT03892980 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Robotic vs. Open NSM for Early Stage Breast Cancer
NCT05720039 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Prospective Registry Trial for Single Port Robot-assisted Nipple Sparing Mastectomy (SPrNSM)
NCT04866992 ·Status: COMPLETED
-
Spot tm Tattooing of Biopsied Axillary Lymph Nodes With Ultrasound Guided in Breast Cancer Patients Prior to Surgery
NCT02617264 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Well Being and Patient Reported Outcomes After Robotic Single-port Nipple Sparing Mastectomy and Implant Reconstruction
NCT07236359 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Serratus Anterior Plane Block Versus Paravertebral Block for Postmastectomy Analgesia
NCT02103946 ·Status: WITHDRAWN ·Phase: NA
-
Percutaneous Removal and Margin Ablation for Breast Cancer
NCT00574301 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Robot-assisted vs. Open Nipple-sparing Mastectomy With Immediate Breast Reconstruction
NCT05490433 ·Status: RECRUITING ·Phase: NA
-
Precision Breast Conserving Surgery With Guidance.
NCT05708664 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Wellbeing and Patient Reported Outcomes After Open vs Robotic Mastectomy With DIEP Reconstruction
NCT07230535 ·Status: RECRUITING ·Phase: NA
-
Pre-operative SABR With and Without Caloric Restriction for Early Stage Breast Cancer
NCT04959474 ·Status: RECRUITING ·Phase: NA
-
A Study on the Treatment of Early Small Breast Cancer With Ultrasound-guided Vacuum-assisted Excision Combined With Surgery
NCT07071402 ·Status: RECRUITING ·Phase: NA