Radiographically guided shave margins may reduce lumpectomy re-excision rates
- 23 April 2018
- journal article
- research article
- Published by Hindawi Limited in The Breast Journal
- Vol. 24 (5), 820-822
- https://doi.org/10.1111/tbj.13050
Abstract
Minimizing margin re‐excision optimizes patient care by providing appropriate oncologic resection and reducing costs. This study aims to assess margin positivity rate in two groups: shave margin based on gross specimen (control group, CG) vs shave margin based on intraoperative imaging (radiographic group, RG). A total of 182 patients who underwent lumpectomy for stage O‐III breast cancer at a single institution from January 2013 to January 2014 were evaluated. There was statistically significant decrease in margin re‐excision rate with intraoperative mammography but not with ultrasound. Surgeons are ideally equipped to use intraoperative imaging to guide margin excision, thus, improving care and reducing costs.Keywords
This publication has 9 references indexed in Scilit:
- Economic Impact of Routine Cavity Margins Versus Standard Partial Mastectomy in Breast Cancer PatientsAnnals of Surgery, 2017
- Intraoperative Margin Assessment in Wire-Localized Breast-Conserving Surgery for Invasive Cancer: A Population-Level Comparison of TechniquesAnnals of Surgical Oncology, 2016
- Impact of intraoperative specimen mammography on margins in breast-conserving surgeryMolecular and Clinical Oncology, 2016
- A Randomized, Controlled Trial of Cavity Shave Margins in Breast CancerNew England Journal of Medicine, 2015
- Intraoperative radiological margin assessment in breast-conserving surgeryEuropean Journal of Surgical Oncology, 2014
- Low re-excision rate for positive margins in patients treated with ultrasound-guided breast-conserving surgeryThe Breast, 2013
- Intraoperative Ultrasound Guidance Is Associated with Clear Lumpectomy Margins for Breast Cancer: A Systematic Review and Meta-AnalysisPLOS ONE, 2013
- Ultrasound-guided excision combined with intraoperative assessment of gross macroscopic margins decreases the rate of reoperations for non-palpable invasive breast cancerThe Breast, 2013
- Role for Intraoperative Margin Assessment in Patients Undergoing Breast-Conserving SurgeryAnnals of Surgical Oncology, 2007