Routine shave margins are not necessary in early stage breast cancer treated with Breast Conserving Surgery - 25/04/18
, JinSi Pao a, b , Amandeep Ghuman a , Elaine C. McKevitt a, b , Urve Kuusk a, b , Carol K. Dingee a, b , Rebecca Warburton a, b, ⁎ Abstract |
Introduction |
Breast Conserving Surgery (BCS) is considered standard of care for women with early stage breast cancer. Between 20 and 50% of women treated with BCS will require re-operation for positive or close margins and it has been suggested that routine cavity shave margins may reduce the frequency of positive margins.
Methods |
Retrospective chart review of a prospectively maintained surgical database of patients undergoing BCS for early stage breast cancer, at a single institution, between January 2012 and December 2015. Cohort was followed until June 2016 to capture re-operations.
Results |
Among 2096 patients with stage 0-III breast cancers, 872 (42%) underwent primary mastectomies and 1224 (58%) underwent primary BCS. Margins were positive in 128 (11%) and close in 442 (36%). Re-operation rate for patients after BCS was 19%.
Conclusion |
A lower than predicted positive margin rate suggests that routine shave margins are not warranted at our institution.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Rates of positive margins (11%) and re-operations (18%) are lower than series which used Routine Cavity Shave Margins (RCSM). |
• | 54% of re-operative specimens contained no residual disease and margin status was not related to the presence of residual disease. |
• | RCSM are not indicated in our practice setting. |
Keywords : Breast Conserving Surgery, Cavity shave margins
Plan
Vol 215 - N° 5
P. 922-925 - mai 2018 Retour au numéro
Article précédent
- Discussion of “Does the implementation of a pediatric appendicitis pathway promoting ultrasound work outside of a children's hospital?”
- Kenneth W. Gow
- Discussion of “Routine shave margins are not necessary in early stage breast cancer treated with breast conserving surgery”
- Nathalie Johnson
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?