Lancaster Physician Fall 2019 - 9

FA L L 2 0 1 9

Dr. Daleela Dodge, left, and Dr. Julie Mack were part of a
team that was instrumental in bringing new technology, the
SAVI SCOUT, to Penn State Health.

D

octors at Penn State Health are using
a new lumpectomy tool that is more
accurate and less invasive.

 SAVI SCOUT uses non-radioactive wave
technology, similar to radar, to locate tumors
during a lumpectomy or surgical biopsy.
Traditionally, radiologists inserted a wire into
the breast to find the target tissue. With the
SAVI SCOUT, they place a reflector about
the length of a staple at the site. The reflector
emits a non-radioactive radar signal, which
leads the surgeon to the cancerous cells.  
"It allows us to be far more precise," said
Dr. Daleela Dodge, a surgical oncologist
in breast care services at Penn State Health
Medical Group - Lime Spring and the
Milton S. Hershey Medical Center. "I'm
not following a wire through the breast and
removing tissue that isn't part of the target,
which improves the cosmetic result."
  Angie Zeigler of Mountville, Pa., was
a recent patient of Dodge. Last May, the
33-year-old was diagnosed with bilateral
breast cancer.  
"I had three tumors - two in the left and
one in the right," Zeigler said. "Thankfully,
I had a great team of doctors and nurses and
incredible technology on my side."

 Dr. Claudia Kasales, a breast-imaging radiologist at the Lime Spring Outpatient Center,
Penn State Hershey Health System, placed the
reflectors in Zeigler's breasts on June 6.
 "Dr. Kasales made me feel at ease, and the
procedure didn't hurt," Zeigler said.
  Eight days later, Dodge used the SAVI
SCOUT system to detect the reflector's location and remove Zeigler's cancerous tumors.
 Zeigler had high praise for Dodge. "Her
personal attention to me was incredible. I never
felt as if I was just another patient."

Each year, more than
2.8 million breast-cancer
removal procedures that
require localization are
performed nationwide.
Traditionally, the localization method required
a wire to be placed on the same day as the biopsy
because a patient couldn't go home with a wire in
their breast, said Dr. Julie Mack, a breast-imaging
radiologist with Penn State Hershey Health
System. "The wire was uncomfortable for the
patient, and we had to worry about it moving
between insertion and the surgery." 

LANCASTER

9

PHYSICIAN

The radiologist and surgeon's schedules also
had to be coordinated. "Now, I can place the
SAVI days or weeks ahead of the surgery,"
Mack said. "This shortens the surgery day for
the patients and reduces their anxiety. They
don't have to have a localization done and
then be transported to another place to have
the surgery performed."  
It also gives patients more flexibility in scheduling their surgery. "Before, the earliest surgical
appointment a patient could schedule was 10
a.m. because they had to have the wire localization done first," Dodge said. "Now, a patient
can have surgery first thing in the morning."
Such was the case for Zeigler, who is
undergoing fertility treatments before starting chemotherapy so that she and boyfriend
Kevin Rosado can preserve embryos to be
used later. "I'm not giving up on my dream
of having a child."
Zeigler said that if she had to be diagnosed
with breast cancer, she is glad the SAVI SCOUT
was available. "I can only imagine what they are
going to be able to do in the next five years,"
she said. 



Lancaster Physician Fall 2019

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