Practical consensus recommendations for tumor margins and breast conservative surgery

被引：15

作者：

Sarin, R. ^{[1
]}

Somsekhar, S. P. ^{[7
]}

Kumar, R. ^{[2
]}

Pawan, Gupta ^{[8
]}

Sumeet, Jain ^{[9
]}

Pramoj, Jindal ^{[3
]}

Vaishali, Zamre ^{[6
]}

Firoz, Pasha ^{[1
]}

Parikh, P. M. ^{[10
]}

Aggarwal, S. ^{[4
]}

Koul, R. ^{[5
]}

机构：

[1] Apollo Indraprastha Hosp, Dept Surg Oncol, New Delhi, India

[2] Rajiv Gandhi Canc Hosp, Dept Surg Oncol, New Delhi, India

[3] Sir Ganga Ram Hosp, Dept Surg, New Delhi, India

[4] Sir Ganga Ram Hosp, Dept Med Oncol, New Delhi, India

[5] Sir Ganga Ram Hosp, Dept Surg Oncol, New Delhi, India

[6] Max Hosp, Dept Surg Oncol, New Delhi, India

[7] Manipal Hosp, Dept Surg Oncol, Bengaluru, Karnataka, India

[8] Jaypee Hosp, Dept Surg Oncol, Noida, Uttar Pradesh, India

[9] Fortis Hosp, Dept Surg Oncol, Mohali, Punjab, India

[10] Shalby Canc & Res Inst, Dept Oncol, Mumbai, Maharashtra, India

来源：

SOUTH ASIAN JOURNAL OF CANCER | 2018年 / 7卷 / 02期

关键词：

Acceptable margin; extensive intraductal component; nodal metastasis; original size; re-excision; resection;

D O I：

10.4103/sajc.sajc_105_18

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

My suggestion: There is no difference in survival of breast cancer patients treated with either mastectomy or with breast conservation therapy combined with external beam radiotherapy. A positive margin (s) is an important factor contributing to the increased risk of local recurrence. However, in published literature, there is a lack of consensus on the definition of acceptable margin (s). As a result decision process about need for re-excision after positive margins remains uncrear.

引用

页码：72 / 78

页数：7

共 61 条

[1] Spectrum of breast cancer in Asian women [J].

Agarwal, Gaurav ;

Pradeep, P. V. ;

Aggarwal, Vivek ;

Yip, Cheng-Har ;

Cheung, Polly S. Y. .

WORLD JOURNAL OF SURGERY, 2007, 31 (05) :1031-1040

[2]

ALTEKRUSE SF, 1975, SEER CANC STAT REV

[3] THE SPECTRUM OF BREAST DISEASES IN SAUDI ARAB FEMALES - A 26-YEAR PATHOLOGICAL SURVEY AT DHAHRAN-HEALTH-CENTER [J].

AMR, SS ;

SADI, ARM ;

ILAHI, F ;

SHEIKH, SS .

ANNALS OF SAUDI MEDICINE, 1995, 15 (02) :125-132

[4] What is an Adequate Margin for Breast-Conserving Surgery? Surgeon Attitudes and Correlates [J].

Azu, Michelle ;

Abrahamse, Paul ;

Katz, Steven J. ;

Jagsi, Reshma ;

Morrow, Monica .

ANNALS OF SURGICAL ONCOLOGY, 2010, 17 (02) :558-563

[5]

Badwe R A, 1990, Indian J Cancer, V27, P220

[6] Attaining Negative Margins in Breast-Conservation Operations: Is There a Consensus among Breast Surgeons? [J].

Blair, Sarah L. ;

Thompson, Kari ;

Rococco, Joseph ;

Malcarne, Vanessa ;

Beitsch, Peter D. ;

Ollila, David W. .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2009, 209 (05) :608-613

[7]

Cady B, 1996, ARCH SURG-CHICAGO, V131, P301

[8] Separate cavity margin sampling at the time of initial breast lumpectomy significantly reduces the need for reexcisions [J].

Cao, DF ;

Lin, C ;

Woo, SH ;

Vang, R ;

Tsangaris, TN ;

Argani, P .

AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2005, 29 (12) :1625-1632

[9] Multiple re-excisions versus mastectomy in patients with persistent residual disease following breast conservation surgery [J].

Cellini, C ;

Huston, TL ;

Martins, D ;

Christos, P ;

Carson, J ;

Kemper, S ;

Simmons, RM .

AMERICAN JOURNAL OF SURGERY, 2005, 189 (06) :662-666

[10]

Chopra R, 2001, J CLIN ONCOL, V19, p106S

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