The Importance of Surgical Margins in Breast Cancer

被引：35

作者：

Priddy, Colleen M. O'Kelly ^{[1
]}

Forte, Victoria A. ^{[2
]}

Lang, Julie E. ^{[1
]}

机构：

[1] USC Norris Comprehens Canc Ctr, Sect Breast Soft Tissue Surg, Dept Surg, Los Angeles, CA USA

[2] USC Norris Comprehens Canc Ctr, Div Med Oncol, Dept Med, Los Angeles, CA USA

来源：

JOURNAL OF SURGICAL ONCOLOGY | 2016年 / 113卷 / 03期

关键词：

breast conserving therapy; positive margins; local recurrence; re-excision; breast cancer; CARCINOMA IN-SITU; FROZEN-SECTION ANALYSIS; NUYS PROGNOSTIC INDEX; RADIOACTIVE SEED LOCALIZATION; ONCOLOGY CONSENSUS GUIDELINE; COMPARING TOTAL MASTECTOMY; CONSERVING SURGERY; AMERICAN-SOCIETY; LOCAL RECURRENCE; RE-EXCISION;

D O I：

10.1002/jso.24047

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Achieving negative margins with "no tumor on ink" is an appropriate goal in breast conserving therapy (BCT). Wider margins do not decrease recurrence rates, and re-excision in patients with microscopic positive margins is warranted. Several strategies exist to increase rates of negative margins, including techniques to improve tumor localization, intraoperative assessment of margins and oncoplastic techniques. Negative margins should be the goal of BCT, as this will improve both local control and long-term survival. (c) 2015 Wiley Periodicals, Inc.

引用

页码：256 / 263

页数：8

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