Histologic margins and the residual tumour classification scheme: Is it time to use a validated scheme in human oncology to standardise margin assessment in veterinary oncology?

被引:23
作者
Liptak, Julius M. [1 ]
机构
[1] VCA Canada Alta Vista Anim Hosp, 2616 Bank St, Ottawa, ON K1T 1M9, Canada
关键词
surgical margins; histologic tumour-free margins; local tumour recurrence; residual tumour classification scheme; MAST-CELL TUMORS; SOFT-TISSUE SARCOMAS; INJECTION-SITE SARCOMAS; INVASIVE BREAST-CANCER; PREEXCISION SURGICAL MARGINS; VACCINE-ASSOCIATED SARCOMAS; PERIVASCULAR WALL TUMORS; ORAL MALIGNANT-MELANOMA; PRIMARY RE-EXCISION; LOCAL RECURRENCE;
D O I
10.1111/vco.12555
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
There is no consensus on the definition of a complete histologic excision in veterinary oncology; many definitions have been used in various studies, but these have been arbitrarily selected with no apparent justification. The residual tumour classification scheme, where a complete histologic excision is defined as a histologic tumour-free margin >0 mm, has been used for >40 years in human oncology by all of the major clinical staging organizations and is considered highly prognostic for the vast majority of malignant tumours in people. Because of the widespread use of the residual tumour classification scheme both clinically and in research studies, this standardized approach permits better communication between clinicians, an evidence-based decision-making process for adjuvant treatment options following surgical resection, minimizes exposing patients to unnecessary adjuvant treatments and a better ability to compare local tumour control for specific tumours between different studies. The adoption of the residual tumour classification scheme in veterinary oncology would likely achieve similar outcomes and minimize the prevalent confusion within the veterinary community, amongst both general practitioners and specialists, regarding the definition of what constitutes a complete histologic excision.
引用
收藏
页码:25 / 35
页数:11
相关论文
共 132 条
  • [1] Margin Re-excision and Local Recurrence in Invasive Breast Cancer: A Cost Analysis Using a Decision Tree Model
    Abe, Shoko E.
    Hill, Joshua S.
    Han, Yimei
    Walsh, Kendall
    Symanowski, James T.
    Hadzikadic-Gusic, Lejla
    Flippo-Morton, Teresa
    Sarantou, Terry
    Forster, Meghan
    White, Richard L., Jr.
    [J]. JOURNAL OF SURGICAL ONCOLOGY, 2015, 112 (04) : 443 - 448
  • [2] The Role of Margin Status and Reexcision in Local Recurrence Following Breast Conservation Surgery
    Adams, Barbara J.
    Zoon, Christine K.
    Stevenson, Christina
    Chitnavis, Padma
    Wolfe, Luke
    Bear, Harry D.
    [J]. ANNALS OF SURGICAL ONCOLOGY, 2013, 20 (07) : 2250 - 2255
  • [3] Prediction of margin involvement and local recurrence after skin-sparing and simple mastectomy
    Al-Himdani, S.
    Timbrell, S.
    Tan, K. T.
    Morris, J.
    Bundred, N. J.
    [J]. EJSO, 2016, 42 (07): : 935 - 941
  • [4] American Joint Committee for Cancer Staging and End Results Reporting, 1977, MAN STAG CANC 1977
  • [5] The influence of tumor- and treatment-related factors on the development of local recurrence in osteosarcoma after adequate surgery. An analysis of 1355 patients treated on neoadjuvant Cooperative Osteosarcoma Study Group protocols
    Andreou, D.
    Bielack, S. S.
    Carrle, D.
    Kevric, M.
    Kotz, R.
    Winkelmann, W.
    Jundt, G.
    Werner, M.
    Fehlberg, S.
    Kager, L.
    Kuehne, T.
    Lang, S.
    Dominkus, M.
    Exner, G. U.
    Hardes, J.
    Hillmann, A.
    Ewerbeck, V.
    Heise, U.
    Reichardt, P.
    Tunn, P. -U.
    [J]. ANNALS OF ONCOLOGY, 2011, 22 (05) : 1228 - 1235
  • [6] [Anonymous], 1988, AJCC MANUAL STAGING
  • [7] Canine Perivascular Wall Tumors: High Prognostic Impact of Site, Depth, and Completeness of Margins
    Avallone, G.
    Boracchi, P.
    Stefanello, D.
    Ferrari, R.
    Rebughini, A.
    Roccabianca, P.
    [J]. VETERINARY PATHOLOGY, 2014, 51 (04) : 713 - 721
  • [8] Evaluation of primary re-excision after recent inadequate resection of soft tissue sarcomas in dogs: 41 cases (1999-2004)
    Bacon, Nicholas J.
    Dernell, William S.
    Ehrhart, Nicole
    Powers, Barbara E.
    Withrow, Stephen J.
    [J]. JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2007, 230 (04): : 548 - 554
  • [9] Liposarcomas in dogs: 56 cases (1989-2000)
    Baez, JL
    Hendrick, MJ
    Shofer, FS
    Goldkamp, C
    Sorenmo, KU
    [J]. JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2004, 224 (06): : 887 - 891
  • [10] Soft tissue sarcomas and mast cell tumours in dogs; clinical behaviour and response to surgery
    Baker-Gabb, M
    Hunt, GB
    France, MP
    [J]. AUSTRALIAN VETERINARY JOURNAL, 2003, 81 (12) : 732 - 738