How far are we off? Analyzing the accuracy of surgical margin relocation in the head and neck

被引：2

作者：

Miller, Alexis ^{[1
]}

Wang, Vickie ^{[2
]}

Jegede, Victor ^{[3
]}

Necker, Fabian ^{[4
]}

Curry, Joseph ^{[5
]}

Baik, Fred M. ^{[6
]}

Verma, Avanti ^{[2
]}

Holsinger, F. Christopher ^{[6
]}

Tuluc, Madalina ^{[7
]}

Rahman, Mobeen ^{[8
]}

Lewis, James S. ^{[1
,9
]}

Rosenthal, Eben ^{[1
]}

Topf, Michael C. ^{[1
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, 1215 21 Ave S,Suite 7302,Med Ctr East, Nashville, TN 37232 USA

[2] Yale Sch Med, Dept Surg, Div Otolaryngol, New Haven, CT USA

[3] Temple Univ, Lewis Katz Sch Med, Philadelphia, PA USA

[4] Friedrich Alexander Univ Erlangen Nurnberg, Inst Funct & Clin Anat, Erlangen, Germany

[5] Thomas Jefferson Univ Hosp, Dept Otolaryngol Head & Neck Surg, Philadelphia, PA USA

[6] Stanford Univ, Dept Otolaryngol Head & Neck Surg, Palo Alto, CA USA

[7] Thomas Jefferson Univ Hosp, Dept Pathol, Philadelphia, PA USA

[8] Stanford Univ, Dept Pathol, Palo Alto, CA USA

[9] Vanderbilt Univ, Med Ctr, Dept Pathol Microbiol & Immunol, Nashville, TN 37232 USA

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2024年 / 46卷 / 11期

关键词：

head and neck cancer; margin relocation; re-resection; surgical margins; SQUAMOUS-CELL CARCINOMA; FROZEN-SECTION MARGINS; POSITIVE MARGINS; LOCAL RECURRENCE; RESECTION; SURVIVAL; SITE;

D O I：

10.1002/hed.27793

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

BackgroundPositive surgical margin rates remain high in head and neck cancer surgery. Relocation is challenging given the complex, three-dimensional (3D) anatomy.MethodsProspective, multi-institutional study to determine accuracy of head and neck surgeons and pathologists relocating margins on virtual 3D specimen models using written descriptions from pathology reports. Using 3D models of 10 head and neck surgical specimens, each participant relocated 20 mucosal margins (10 perpendicular, 10 shave).ResultsA total of 32 participants, 23 surgeons and 9 pathologists, marked 640 margins. Of the 320 marked perpendicular margins, 49.7% were greater than 1 centimeter from the true margin with a mean relocation error of 10.2 mm. Marked shave margins overlapped with the true margin a mean 54% of the time, with no overlap in 44 of 320 (13.8%) shave margins.ConclusionsSurgical margin relocation is imprecise and challenging even for experienced surgeons and pathologists. New communication technologies are needed.

引用

页码：2709 / 2716

页数：8

共 33 条

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