SAC - Sociedad Andaluza de Cancerología
 
SAC - Sociedad Andaluza de Cancerología
 
 

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Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Stages I and II Invasive Breast Cancer: ASTRO
25 de Abril de 2014
Purpose: To convene amultidisciplinary panel of breast experts to examine the relationship between margin width and ipsilateral breast tumor recurrence (IBTR) and develop a guideline for defining adequate margins in the setting of breast conserving surgery and adjuvant radiation therapy.
Methods and Materials: Amultidisciplinary consensus panel used ameta analysis of margin width and IBTR from a systematic review of 33 studies including 28,162 patients as the primary evidence base for consensus.
Results: Positive margins (ink on invasive carcinoma or ductal carcinoma in situ) are associated with a 2-fold increase in the risk of IBTR compared with negative margins. This increased risk is not mitigated by favorable biology, endocrine therapy, or a radiation boost.More widely clear margins than no ink on tumor do not significantly decrease the rate of IBTR compared with no ink on tumor. There is no evidence that more widely clear margins reduce IBTR for young patients or for those with unfavorable biology, lobular cancers, or cancers with an extensive intraductalcomponent.
Conclusions: The use of no ink on tumor as the standard for an adequate margin in invasive cancer in the era of multidisciplinary therapy is associated with low rates of IBTR and has the potential to decrease re-excision rates, improve cosmetic outcomes, and decrease health care costs.
  Documentos relacionados.
Conserving Surgery With Whole-Breast Irradiation in Stages I and II Invasive Breast Cancer. ASTRO.
  Enlaces relacionados.
Conserving Surgery With Whole-Breast Irradiation in Stages I and II Invasive Breast Cancer. ASTRO.
 
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