Surgical resection margins after breast-conserving surgery: Senonetwork recommendations

Viviana Galimberti, Mario Taffurelli, Maria Cristina Leonardi, Cynthia Aristei, Chiara Trentin, Enrico Cassano, Francesca Pietribiasi, Giovanni Corso, Elisabetta Munzone, Carlo Tondini, Alfonso Frigeri, Luigi Cataliotti, Donatella Santini

Research output: Contribution to journalArticle

Abstract

This paper reports findings of the "Focus on Controversial Areas" Working Party of the Italian Senonetwork, which was set up to improve the care of breast cancer patients. After reviewing articles in English on the MEDLINE system on breast conserving surgery for invasive carcinoma, the Working Party presents their recommendations for identifying risk factors for positive margins, suggests how to manage them so as to achieve the highest possible percentage of negative margins, and proposes standards for investigating resection margins and therapeutic approaches according to margin status. When margins are positive, approaches include re-excision, mastectomy, or, as second-line treatment, radiotherapy with a high boost dose. When margins are negative, boost administration and its dose depend on the risk of local recurrence, which is linked to biopathological tumor features and surgical margin width. Although margin status does not affect the choice of systemic therapy, it may delay the start of chemotherapy when further surgery is required.

Original languageEnglish
Pages (from-to)284-289
Number of pages6
JournalTumori
Volume102
Issue number3
DOIs
Publication statusPublished - May 1 2016

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Keywords

  • Breast cancer
  • Breast network
  • Conservative surgery
  • Surgical margin

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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