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