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Title:
The effect of intraoperative specimen inking on lumpectomy re-excision rates | World Journal of Surgical Oncology
Description:
Background Lumpectomy re-excision to obtain negative margins is common. We compare the effect of two specimen orientation approaches on lumpectomy re-excision rates. Methods All women undergoing lumpectomy for breast cancer by a single surgeon between 03/2007 - 02/2009 were included. Lumpectomies underwent standard inking (SI) after surgery by a pathologist from 03/2007-02/2008 while intraoperative inking (II) with direct surgeon input was done from 03/2008-02/2009. Rates of margin positivity and re-excision were compared between these methods. Results 65 patients were evaluated, reflecting SI in 39 and II in 26 cases. Margin positivity rates of 46% [SI] vs. 23% [II] (p = 0.06) and re-excision rates of 38% [SI] vs. 19% [II] were observed. Residual disease at re-excision was found in 27% [SI] vs. 67% [II] of cases. Conclusions Intraoperative inking in this practice offered a simple way to reduce re-excision rates after lumpectomy and affect an improvement in quality of patient care.
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Keywords {π}
lumpectomy, reexcision, margins, margin, group, article, inking, surgery, specimen, rates, patients, intraoperative, breast, cancer, study, surgeon, positive, tumor, status, patient, additional, performed, original, pubmed, google, scholar, surg, volume, negative, specimens, surgical, singh, results, residual, practice, close, groups, table, access, lumpectomies, cases, disease, size, larger, privacy, cookies, analysis, data, change, journal,
Topics {βοΈ}
tailed chi-square test article download pdf open access article surgical oncology aims negative margin status obtain negative margins achieve negative margins privacy choices/manage cookies lumpectomy resection volume breast-conserving surgery breast cancer surgery equal resection volumes larger resection volume breast-conservation surgery accurate margin definitions margin measurements resulting breast-conserving therapy separate margin status average tumor size women undergoing lumpectomy lumpectomy margin guidelines intraoperative inking presents surgical resection positive/close margins average lumpectomy volume fifteen patients underwent invasive breast cancer european economic area full access multi-colored inks intraoperative inking regimen positive margins appeared invasive tumor size main content log patients undergoing lumpectomy conditions privacy policy journal finder publish tissue volume removed considered statistically significant extensive intraductal component intraoperative specimen inking additional margins removed breast specimen orientation article singh margin positivity rates wire localization larger tumor size positive lumpectomy margins negative margins negative margins [9]
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headline:The effect of intraoperative specimen inking on lumpectomy re-excision rates
description:Lumpectomy re-excision to obtain negative margins is common. We compare the effect of two specimen orientation approaches on lumpectomy re-excision rates. All women undergoing lumpectomy for breast cancer by a single surgeon between 03/2007 - 02/2009 were included. Lumpectomies underwent standard inking (SI) after surgery by a pathologist from 03/2007-02/2008 while intraoperative inking (II) with direct surgeon input was done from 03/2008-02/2009. Rates of margin positivity and re-excision were compared between these methods. 65 patients were evaluated, reflecting SI in 39 and II in 26 cases. Margin positivity rates of 46% [SI] vs. 23% [II] (p = 0.06) and re-excision rates of 38% [SI] vs. 19% [II] were observed. Residual disease at re-excision was found in 27% [SI] vs. 67% [II] of cases. Intraoperative inking in this practice offered a simple way to reduce re-excision rates after lumpectomy and affect an improvement in quality of patient care.
datePublished:2010-01-18T00:00:00Z
dateModified:2010-01-18T00:00:00Z
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Margin Status
Negative Margin
Close Margin
Wire Localization
Resection Volume
Surgical Oncology
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headline:The effect of intraoperative specimen inking on lumpectomy re-excision rates
description:Lumpectomy re-excision to obtain negative margins is common. We compare the effect of two specimen orientation approaches on lumpectomy re-excision rates. All women undergoing lumpectomy for breast cancer by a single surgeon between 03/2007 - 02/2009 were included. Lumpectomies underwent standard inking (SI) after surgery by a pathologist from 03/2007-02/2008 while intraoperative inking (II) with direct surgeon input was done from 03/2008-02/2009. Rates of margin positivity and re-excision were compared between these methods. 65 patients were evaluated, reflecting SI in 39 and II in 26 cases. Margin positivity rates of 46% [SI] vs. 23% [II] (p = 0.06) and re-excision rates of 38% [SI] vs. 19% [II] were observed. Residual disease at re-excision was found in 27% [SI] vs. 67% [II] of cases. Intraoperative inking in this practice offered a simple way to reduce re-excision rates after lumpectomy and affect an improvement in quality of patient care.
datePublished:2010-01-18T00:00:00Z
dateModified:2010-01-18T00:00:00Z
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Margin Status
Negative Margin
Close Margin
Wire Localization
Resection Volume
Surgical Oncology
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