Influence of Surgical Technique on Mastectomy and Reexcision Rates in Breast-Conserving Therapy for Cancer
Joint Authors
Peng, Yan
Euhus, David
Moldrem, Amy
Andrews, Valerie
Xie, Xian-Jin
Unzeitig, Alison
Yan, Jingsheng
Rao, Roshni
Sarode, Venetia
Kobbermann, Anne
Leitch, A. Marilyn
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-01-16
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Breast conserving surgery (BCS) requires tumor excision with negative margins.
Reexcision rates of 30–50% are reported.
Ultrasound localization, intraoperative margin pathology, and specimen mammography have reduced reexcisions, but require new equipment.
Cavity shave margin (CSM) is a technique, utilizing existing equipment, that potentially reduces reexcision.
This study evaluates CSM reexcision impact.
Methods.
522 cancers treated with BCS were reviewed.
Patients underwent standard partial mastectomy (SPM) or CSM.
Data collected included demographics, pathology, and treatments.
Results.
455 SPMs were compared to 67 CSMs.
Analysis revealed no differences in pathology, intraductal component, or neoadjuvant chemotherapy.
Overall reexcision rate = 43%.
Most reexcisions were performed for DCIS at margin.
SPMs underwent 213 reexcisions (46.8%), versus 16/67 (23.9%) CSMs (P = 0.0003).
Total mastectomy as definitive procedure was performed after more SPMs (P = 0.009).
Multivariate analysis revealed CSM, % DCIS, tumor size, and race to influence reexcisions.
Conclusions.
CSM is a technique that reduces reexcisions and mastectomy rates.
American Psychological Association (APA)
Unzeitig, Alison& Kobbermann, Anne& Xie, Xian-Jin& Yan, Jingsheng& Euhus, David& Peng, Yan…[et al.]. 2012. Influence of Surgical Technique on Mastectomy and Reexcision Rates in Breast-Conserving Therapy for Cancer. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-493607
Modern Language Association (MLA)
Unzeitig, Alison…[et al.]. Influence of Surgical Technique on Mastectomy and Reexcision Rates in Breast-Conserving Therapy for Cancer. International Journal of Surgical Oncology No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-493607
American Medical Association (AMA)
Unzeitig, Alison& Kobbermann, Anne& Xie, Xian-Jin& Yan, Jingsheng& Euhus, David& Peng, Yan…[et al.]. Influence of Surgical Technique on Mastectomy and Reexcision Rates in Breast-Conserving Therapy for Cancer. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-493607
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-493607