Surgical management modifications following systematic additional shaving of cavity margins in breast-conservation treatment

Annals of Surgical Oncology
Delphine HequetEmmanuel Barranger

Abstract

Positive wide local excision margins are the most important risk factor of local breast-carcinoma recurrence. Shaving additional margins could lower the need for re-excisions when wide local excision margins are positive and cavity margins are negative. This retrospective study, from January 2007 to December 2008, included 99 women with breast carcinomas who underwent wide local excision with 4 additional, systematically shaved, surgical cavity margins. All therapeutic decisions concerning post-wide local excision treatment were made by consensus during multidisciplinary meetings. This systematic cavity-shaving strategy avoided 25 re-excisions (25.3%), and 6 patients required new surgery because of carcinoma found in the additional cavity-shaving margins, despite negative wide local excision margins. No preoperative factor predictive of positive cavity margins was identified. Systematic shaving of additional cavity margins changed the surgical management after breast-conservation treatment.

References

Jan 1, 1992·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·J M Kurtz
Jan 1, 1994·The British Journal of Surgery·R D MacmillanW D George
Sep 27, 2003·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·L BarthelmesD J Crawford
Nov 4, 2004·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M KeskekG P H Gui
Dec 6, 2005·The American Journal of Surgical Pathology·Dengfeng CaoPedram Argani
Nov 11, 2008·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Iulia Tengher-BarnaMarianne Ziol
Nov 13, 2008·The Breast Journal·Ravi MarudanayagamIan Paterson

❮ Previous
Next ❯

Citations

Apr 18, 2014·Journal of Molecular Endocrinology·F M FiorettiG N Brooke
Apr 12, 2014·Surgical Oncology·Fernando A AngaritaJaime Escallon
Sep 29, 2011·Annals of Surgical Oncology·Suzanne B CoopeyMichelle C Specht
Sep 22, 2012·Gynécologie, obstétrique & fertilité·A BricouE Barranger
Jun 19, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·D HéquetE Barranger
Oct 27, 2017·Annals of Surgical Oncology·Alexandre BricouEmmanuel Barranger
Nov 30, 2011·Current Opinion in Obstetrics & Gynecology·John H Howard, Kirby I Bland

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.

Carcinoma, Lobular

Lobular carcinoma is an invasive type of breast cancer in which lobules, areas of the breast that produce milk, undergo malignant transformation. Here is the latest research.

Related Papers

Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc
Iulia Tengher-BarnaMarianne Ziol
European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
M KeskekG P H Gui
© 2021 Meta ULC. All rights reserved