Presentation Awards and Eligibility Abstracts submitted are eligible for awards. The George Peters Award recognizes the best presentation by a breast fellow and is awarded $1,000. The Scientific Presentation Award recognizes an outstanding presentation by a resident or fellow and is awarded $500. All presenters are eligible for the Scientific Impact Award. The recipient of the award is selected by the audience. The George Peters Award was established in 2004 by the Society to honor Dr. George N. Peters, who was instrumental in bringing together the Susan G. Komen Breast Cancer Foundation, The American Society of Breast Surgeons, the American Society of Breast Disease, and the Society of Surgical Oncology to develop educational objectives for breast fellowships. The educational objectives were first used to award Komen Interdisciplinary Breast Fellowships. Subsequently the curriculum was used for the breast fellowship credentialing process that has led to the development of a nationwide matching program for breast fellowships. TABLE OF CONTENTS TIME I. ORAL PRESENTATIONS 1:45 pm HER-2/neu Pulsed DC1 Vaccination in Patients With DCIS Induces Evidence of Changes in Cardiac Function Susan Bahl*, Ursula Koldovsky, Shuwen Xu, Harvey Nisenbaum, Kevin Fox, Paul Zhang, Louis Araujo, Joseph Carver, Brian J Czerniecki......................................................................................... 3 2:00 pm Axillary Reverse Mapping to Identify and Protect Lymphatics Draining the Arm During Axillary Lymphadenectomy Cristiano Boneti**, Soheila Korourian, Laura Adkins, Kristin L Cox, Carlos Santiago, Zuleika Diaz, V Suzanne Klimberg ........................................................................................................................... 4 2:15 pm The Impact of MRI on Surgical Treatment of Invasive Breast Cancer Susanne Carpenter**, Chee-Chee Stucky, Amylou Dueck, Richard Gray, Gwen Grimsby, Heidi Apsey, Lindsay Evans, Barbara Pockaj .............................................................................................. 5 2:30 pm Does Breast-Specific Gamma Imaging Alter Patient Management? Brigid Killelea*, Juhi Asad, Alyssa Gillego, Avni Shah, Sheldon Feldman, Susan Boolbol.......................... 6 2:45 pm Factors Associated With Improved Outcome After Surgery in Metastatic Breast Cancer Patients Kandace McGuire*, Sarah Eisen, Amilcar Rodriguez, Tammi Meade, Charles Cox, Nazanin Khakpour........................................................................................................................................ 7 3:30 pm Surgical Management of the Axilla: Do Intramammary Nodes Matter? Matthew S Pugliese*, Michelle M Stempel, Hiram S Cody, Monica Morrow, Mary L Gemignani ................ 8 3:45 pm Diagnosis of Breast Cancer in Women Age 40 and Younger: Delays in Diagnosis Are Common Due to Underutilization of Genetic Testing and Breast Imaging Srila Samphao*, Amanda Wheeler, Elizabeth Rafferty, James S Michaelson, Michelle C Specht, Michele A Gadd, Kevin S Hughes, Barbara L Smith..................................................... 9 4:00 pm Predictors of Complete Pathologic Response After Neoadjuvant Systemic Therapy for Breast Cancer Marcus C Tan**, Fatema Al Mushawah, Timothy J Eberlein, William E Gillanders, Rebecca L Aft, Julie A Margenthaler .................................................................................................................................. 10 4:15 pm Prognostic Indicators of Ipsilateral Breast Tumor Recurrence Following Breast-Conserving Therapy Richard Tuli**, Sharon Deol, Leah Roberts, Anne Rosenberg................................................................... 11 4:30 pm Rapid Noninvasive Imaging of the Biochemical Composition in Breast Tumor Margins Lee Wilke, Torre Bydlon, Stephanie Kennedy, Lisa Richards, Marlee Junker, Joseph Geradts, Quincy Brown, Nimmi Ramanujam................................................................................. 12 _______________________ * Eligible for George Peters Award and Scientific Presentation Award ** Eligible for Scientific Presentation Award Note: Underscore indicates presenting author. The American Society of Breast Surgeons Proceedings 2009 i TABLE OF CONTENTS II. DISCUSSION POSTERS Validation of a Clinical Prediction Rule for Nonsentinel Node Metastasis Anees Chagpar, Peter Blumencranz, Pat Whitworth, Kenneth Deck, Anne Rosenberg, Rache Simmons, Douglas Reintgen, Peter Beitsch, Thomas Julian, Sukamal Saha, Eleftherios Mamounas, Armando Giuliano, Kelly McMasters, Francis Cook ............................................. 15 An 11-Year Experience With Invasive Lobular Carcinoma and Intraoperative Touch Prep Cytology With Sentinel Lymph Nodes Kristin L. Cox, Soheila Korourian, Eric Siegel, MS, Carlos Santiago-Sanchez, Zuleika Diaz, Kent Westbrook, V. Suzanne Klimberg, Ronda Henry-Tillman.................................................................. 16 Disease-Specific Survival of Male Breast Cancer Patients David Mangiameli, Laura Klein, Kathie Joseph, Brett Taback, Sheldon Feldman, Mahmoud El Tamer.................................................................................................................................... 17 The Role of a “Second Look” at Mammograpy and Biopsy of Benign/ Probably Benign Microcalcifications After an Abnormal Stereotactic Biopsy Parissa Tabrizian, Tehillah Menes ............................................................................................................. 18 Breast Self-Examination: Defining a Cohort Still in Need Lee Wilke, Gloria Broadwater, Sarah Rabiner, Elizabeth Owens, Tracey Grant, Sora Yoon, Sujata Ghate, Victoria Scott, Ruth Walsh, Jay Baker, Mary Scott Soo, Catherine Ibarra-Drendall, April Strouder, Stephanie Roberston, Abbey Barron, Victoria Seewaldt.................................................... 20 III. POSTERS Axillary Staging Prior to or After Neoadjuvant Systemic Therapy? A Single Institutional Experience Fatema Al Mushawah, Marcus C Tan, Timothy J Eberlein, William E Gillanders, Rebecca L Aft, Julie A Margenthaler.......................................................................................................... 23 Residual Nodal Disease in Biopsy-Proven N1/N2 Breast Cancer Patients Following Neoadjuvant Systemic Therapy Fatema Al Mushawah, Marcus C Tan, Timothy J Eberlein, William E Gillanders, Rebecca L Aft, Julie A Margenthaler .................................................................................................................................. 24 The Predictive Value of Incidental PET/CT Findings Suspicious for Breast Cancer in Women With Nonbreast Malignancies John Beatty, Angela Gucwa, Hadyn Williams, Edward Kruse, Scott Lind, James McLoughlin ................. 25 Magnetic Resonance Imaging Application for Operative Planning in Patients With High-Grade DCIS Lisa Benton, Brenda Sickle-Santanello...................................................................................................... 26 Tumor Characteristics and Patient Outcomes Are Similar Between Invasive Lobular and Mixed Invasive Ductal/Lobular Breast Cancers But Differ From Pure Invasive Ductal Breast Cancers Ankit Bharat, Feng Gao, Julie A Margenthaler........................................................................................... 27 ii American Society of Breast Surgeons Proceedings 2009 TABLE OF CONTENTS Prediction of Axillary Status From Sentinel Lymph Node Testing With an Intraoperative RT-PCR Test—Multicenter Analysis of 786 Patients P Blumencranz, M Pieretti, PB Ley, B Dupree, S Peiper, V Durbecq, JC Schobbens, D Larsimont................................................................................................................................................ 28 Intraoperative Molecular Pathology of Sentinel Axillary Lymph Nodes in Breast Carcinoma Patients Monet Bowling, Robert Goulet, Susan Clare, Erika Rager, Maryanne Bowyer-Cherry, Rachel Blosser, Mangesh Thorat, Sunil Badve.......................................................................................... 30 Seroma After Breast Surgery: Identifying the High-Risk Patient Kanesha Bryant, Alyssa Throckmorton, Sarah Boostrom, Melissa Stobbs, John Donohue, David Farley, Judy Boughey, Tanya Hoskin, Amy Degnim........................................................................ 31 Use Perioperative Gabapentin (Neurontin) in Reducing Postoperative Narcotic Usage in Patients Undergoing Mastectomy and Axillary Nodal Dissection Zandra Cheng, Lorraine Tafra.................................................................................................................... 32 Breast-Specific Gamma Imaging: Integration Into Surgical Practice Karen Ching, Marina Feldman, Charusheela Andaz, Patrick Borgen, Joshua Kalowitz ............................ 33 Comparison of Home-Brew HER2 Testing With HercepTest and FISH: A Cautionary Tale Daniel Choi, Loralee McMahon, David Hicks, Linda Schiffhauer, Kristin Skinner...................................... 34 Comparison of Calcified and Noncalcified DCIS Carla Christy, Mohammed Rishi, Jean-Claude Schwartz, Baiba Grube, Donald Lannin........................... 35 The Relationship of Mammographic Density and Age: Implications for Screening Jennifer Chun, Cristina Checka, Jiyon Lee, Freya Schnabel..................................................................... 36 Use of Tumescent Mastectomy Technique As a Risk Factor for Native Breast Skin Flap Necrosis Following Immediate Breast Reconstruction Yoon Chun, Kapil Verma,