Intraoperative Margin Assessment in Breast Cancer Management

Chantal Reyna; Sarah M DeSnyder

doi:10.1016/j.soc.2017.08.006

Intraoperative Margin Assessment in Breast Cancer Management

Surg Oncol Clin N Am. 2018 Jan;27(1):155-165. doi: 10.1016/j.soc.2017.08.006.

Authors

Chantal Reyna¹, Sarah M DeSnyder²

Affiliations

¹ Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1639, Houston, TX 77030, USA.
² Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1434, Houston, Texas 77030, USA. Electronic address: sgainer@mdanderson.org.

PMID: 29132558
DOI: 10.1016/j.soc.2017.08.006

Abstract

The goal of breast-conserving surgery is to excise the tumor with negative margins while achieving a successful cosmetic result. Although it is not feasible to have re-excision rates of zero, several techniques have been described to reduce the need for a return to the operating room. When rates of re-excision are high, consideration should be given to using 1 or more of these techniques. It is critical that re-excision rates are tracked when new techniques are implemented to ensure progress. In addition, attention must be paid to ensuring that cosmetic outcomes remain optimal.

Keywords: Breast cancer; Breast-conserving surgery; Breast-conserving therapy; Intraoperative assessment; Lumpectomy; Margin; Re-excision.

Publication types

Review

MeSH terms

Breast Neoplasms / surgery*
Female
Humans
Margins of Excision*
Mastectomy, Segmental*