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浸润性乳腺癌切缘阳性的定义和处理。

Definition and Management of Positive Margins for Invasive Breast Cancer.

机构信息

Division of Surgical Oncology, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 170 Manning Drive, Chapel Hill, NC 27599, USA.

Section of Breast Surgery, Massey Cancer Center at Virginia Commonwealth University, West Hospital, 7th Floor West Wing, Box 980011, Richmond, VA 23298-0011, USA.

出版信息

Surg Clin North Am. 2018 Aug;98(4):761-771. doi: 10.1016/j.suc.2018.03.008. Epub 2018 Apr 24.


DOI:10.1016/j.suc.2018.03.008
PMID:30005772
Abstract

Breast-conserving surgery (BCS) followed by radiation therapy is the current standard of care for early stage breast cancer. Successful BCS necessitates complete tumor resection with clear margins at the pathologic assessment of the specimen ("no ink on tumor"). The presence of positive margins warrants additional surgery to obtain negative final margins, which has significant physical, psychological, and financial implications for the patient. The challenge lies in developing accurate real-time intraoperative margin assessment techniques to minimize the presence of "ink on tumor" and the subsequent need for additional surgery.

摘要

保乳手术(BCS)联合放疗是早期乳腺癌的当前标准治疗方法。成功的 BCS 需要在标本的病理评估时进行完整的肿瘤切除,并保证切缘无肿瘤细胞浸润(“无墨渍”)。如果存在阳性切缘,则需要进一步手术以获得阴性的最终切缘,这对患者的身体、心理和经济状况都有重大影响。挑战在于开发准确的实时术中切缘评估技术,以尽量减少“墨渍”的存在,并减少后续需要进一步手术的可能性。

相似文献

[1]
Definition and Management of Positive Margins for Invasive Breast Cancer.

Surg Clin North Am. 2018-4-24

[2]
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Breast. 2013-8

[3]
The role of reexcision for positive margins in optimizing local disease control after breast-conserving surgery for cancer.

Breast J. 2006

[4]
Efficacy of intraoperative entire-circumferential frozen section analysis of lumpectomy margins during breast-conserving surgery for breast cancer.

Int J Clin Oncol. 2015-12

[5]
A comparison of intra-operative margin management techniques in breast-conserving surgery: a standardised approach reduces the likelihood of residual disease without increasing operative time.

Breast Cancer. 2015-5

[6]
Intraoperative Ultrasound and Oncoplastic Combined Approach: An Additional Tool for the Oncoplastic Surgeon to Obtain Tumor-Free Margins in Breast Conservative Surgery-A 2-Year Single-Center Prospective Study.

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[7]
Do Patients After Reexcision Due to Involved or Close Margins Have the Same Risk of Local Recurrence as Those After One-Step Breast-Conserving Surgery?

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[8]
Implications of New Lumpectomy Margin Guidelines for Breast-Conserving Surgery: Changes in Reexcision Rates and Predicted Rates of Residual Tumor.

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[9]
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[10]
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引用本文的文献

[1]
Mastectomy Alone or with Immediate Breast Reconstruction: Trend, Precipitating Factors, Patients Reported Outcome, and Oncologic Safety Analysis with and without Propensity Score Matching from 3759 Mastectomy Patients.

Aesthetic Plast Surg. 2025-3-6

[2]
Margin assessment during breast conserving surgery using diffuse reflectance spectroscopy.

J Biomed Opt. 2024-4

[3]
Use of artificial intelligence in breast surgery: a narrative review.

Gland Surg. 2024-3-27

[4]
Does Nipple-Ward Positive Margin Contribute to a Higher Rate of Re-Excision Procedures After a Lumpectomy with Pathology-Confirmed Positive Margins? A Retrospective Study.

Breast Cancer (Dove Med Press). 2024-2-21

[5]
Diffuse reflectance spectroscopy for accurate margin assessment in breast-conserving surgeries: importance of an optimal number of fibers.

Biomed Opt Express. 2023-7-10

[6]
Toward Intraoperative Margin Assessment Using a Deep Learning-Based Approach for Automatic Tumor Segmentation in Breast Lumpectomy Ultrasound Images.

Cancers (Basel). 2023-3-8

[7]
Pathologic evaluation of lumpectomy resection margins for invasive breast cancer: a single institution's experience.

Int J Clin Exp Pathol. 2023-2-15

[8]
Association of Surgical Margin Status with Oncologic Outcome in Patients Treated with Breast-Conserving Surgery.

Curr Oncol. 2022-11-27

[9]
LONG-TERM SURVIVAL EFFECTS OF PREOPERATIVE BREAST MRI IN PATIENTS WITH BREAST-CONSERVING SURGERY.

Acta Clin Croat. 2022-3

[10]
Intratumoral and peritumoral radiomics based on dynamic contrast-enhanced MRI for preoperative prediction of intraductal component in invasive breast cancer.

Eur Radiol. 2022-7

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