Novel techniques for intraoperative assessment of margin involvement

Dumitru, Dorin and Douek, Michael and Benson, John R. (2018) Novel techniques for intraoperative assessment of margin involvement. ecancermedicalscience, 12. ISSN 1754-6605

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Official URL: https://doi.org/10.3332/ecancer.2018.795

Abstract

Breast conserving surgery (BCS) is now the standard of care for the majority of women with early stage breast cancer. There is a finite rate of ipsilateral breast tumour recurrence (IBTR) for breast conserving therapy (BCT) with annual rates of less than 1% for specialist breast practices. There has been recent consensus on the definition of an adequate resection margin for both invasive and noninvasive breast cancer treated with BCS, although some variation in margin policy persists with definitions of ‘no tumour at ink’, 1 and 2 mm margin mandates. Despite the development of methods for intraoperative assessment of margins, up to 20% of patients require further surgery (cavity re-excision or completion mastectomy) to achieve clear surgical margins. In the past decade, several novel technologies for intraoperative margin assessment have been explored with the aim of reducing rates of re-operation and its attendant patient anxiety, inconvenience and additional cost. Ongoing studies are addressing the safety, feasibility and cost-effectiveness of these novel technologies relative to methods in routine clinical usage.

Item Type: Journal Article
Keywords: breast surgery, margin assessment, technologies, re-excision, recurrence
Faculty: ARCHIVED Faculty of Medical Science (until September 2018)
Depositing User: Lisa Blanshard
Date Deposited: 23 Apr 2020 11:24
Last Modified: 09 Sep 2021 18:57
URI: https://arro.anglia.ac.uk/id/eprint/705431

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