Do you recommend re-excision of a unifocal positive anterior margin at skin after lumpectomy in a patient with otherwise low risk breast cancer features?
Can adjuvant radiation therapy compensate for the potential increased local recurrence risk?
Answer from: Radiation Oncologist at Academic Institution
There are few data on how margin location affects outcome. A group from Dundee and Perth in Scotland reported that re-excision performed for an anterior margin of less than 1 mm found residual disease in only 4% of patients who had initial excision in the subcutaneous plane, compared to 24% of patie...
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Radiation Oncologist at Mountain Radiation Oncology A local pathologist, suggests there is an associat...
Radiation Oncologist at Beth Israel Deaconess Medical Center The presence of LVI was a small but independent ri...
Answer from: Radiation Oncologist at Academic Institution
I have been told by my surgical colleagues that the anterior margins are sometimes “overly-called close” since:
Their initial skin incision is often directly over the lesion (i.e., anterior to the tumor), and their blade essentially always goes into some of the breast tissue (at least e...
A local pathologist, suggests there is an associat...
The presence of LVI was a small but independent ri...