Leff Daniel R
Department of Surgery & Cancer, Imperial College London, London, UK.
Breast Unit, Imperial College Healthcare NHS Trust, London, UK.
J Surg Oncol. 2025 Feb;131(2):108-114. doi: 10.1002/jso.27657. Epub 2024 Aug 21.
Imprecision in breast conserving surgery results in high rates of take back to theatre for reexcision of margins. This paper reviews the various approaches to improving the precision of oncological margin control in breast conserving surgery. The review describes the rationale for improved tissue characterization over tumor localization and explores technology-free approaches, as well as progress being made to develop and test innovative technological solutions.
保乳手术中的不精确性导致因切缘再切除而返回手术室的比例很高。本文综述了提高保乳手术中肿瘤切缘控制精度的各种方法。该综述阐述了相较于肿瘤定位,改善组织特征识别的基本原理,并探讨了无技术辅助的方法,以及在开发和测试创新技术解决方案方面取得的进展。