New guidelines on the adequacy of lumpectomy margin width in patients with ductal carcinoma in situ Journal Article

  


Authors: Petruolo, O.; Morrow, M.
Article Title: New guidelines on the adequacy of lumpectomy margin width in patients with ductal carcinoma in situ
Abstract: Purpose of Review: Ductal carcinoma in situ (DCIS) can be successfully treated with breast-conserving surgery (BCS); however, there is little consensus regarding what negative margin width minimizes the risk of local recurrence, and as many as one third of patients undergo additional surgery after initial lumpectomy. Recent Findings: An evidence-based SSO-ASTRO-ASCO consensus guideline on margin width for patients treated with BCS and whole breast irradiation found a margin width of 2 mm to be optimal, and that margins greater than 2 mm did not further reduce local recurrence rates. Multiple factors determine the need for re-excision in patients with negative margins less than 2 mm. Summary: There has been much debate regarding the appropriate negative margin width after BCS for DCIS. The new consensus guideline has provided a standard negative margin definition which may reduce rates of re-excision. © 2017, Springer Science+Business Media New York.
Keywords: guidelines; margins; ductal carcinoma in situ; breast-conserving therapy; local recurrence
Journal Title: Current Breast Cancer Reports
Volume: 9
Issue: 2
ISSN: 1943-4588
Publisher: Springer  
Date Published: 2017-06-01
Start Page: 122
End Page: 128
Language: English
DOI: 10.1007/s12609-017-0238-7
PROVIDER: scopus
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017179996&doi=10.1007%2fs12609-017-0238-7&partnerID=40&md5=577634983bcc97bc57b51321d8bda626
Notes: Review -- Export Date: 3 July 2017 -- Source: Scopus
Altmetric
What is Altmetric?
Citation Impact
What is Dimensions Citation Badge?
BMJ Impact Analytics
MSK Authors
  1. Monica Morrow
    772 Morrow
  2. Oriana Petruolo
    10 Petruolo
Related MSK Work