scholarly journals A study of margin width and local recurrence in breast conserving therapy for invasive breast cancer

2016 ◽  
Vol 42 (5) ◽  
pp. 657-664 ◽  
Author(s):  
J.M. Dixon ◽  
J. Thomas ◽  
G.R. Kerr ◽  
L.J. Williams ◽  
C. Dodds ◽  
...  
2009 ◽  
Vol 12 (4) ◽  
pp. 302 ◽  
Author(s):  
On Vox Yi ◽  
Jong Won Lee ◽  
Hee Jung Kim ◽  
Woo Sung Lim ◽  
Eun Hwa Park ◽  
...  

1999 ◽  
Vol 25 (3) ◽  
pp. 273-279 ◽  
Author(s):  
A.C. Voogd ◽  
F. van der Horst ◽  
M.A. Crommelin ◽  
J.L. Peterse ◽  
M.W.P.M. van Beek ◽  
...  

Author(s):  
Paula H.M Elkhuizen M.D. ◽  
Marc J van de Vijver M.D., Ph.D. ◽  
Jo Hermans Ph.D. ◽  
Harmien M Zonderland M.D. ◽  
Cornelis J.H van de Velde M.D., Ph.D. ◽  
...  

1999 ◽  
Vol 35 (13) ◽  
pp. 1828-1837 ◽  
Author(s):  
A.C. Voogd ◽  
J.L. Peterse ◽  
M.A. Crommelin ◽  
E.J.Th. Rutgers ◽  
G. Botke ◽  
...  

2019 ◽  
Vol 27 (5) ◽  
pp. 1700-1707 ◽  
Author(s):  
K. Wimmer ◽  
M. Bolliger ◽  
Z. Bago-Horvath ◽  
G. Steger ◽  
D. Kauer-Dorner ◽  
...  

Abstract Background While “no tumour on ink” is an accepted margin width for R0 resection in primary surgery, it’s unclear if it’s oncologically safe after neoadjuvant chemotherapy (NAC). Only limited data demonstrate that surgery within new margins in cases of a pathological complete response (pCR) is safe. We therefore investigated the influence of different margins and pCR on local recurrence and survival rates after NAC. Methods We retrospectively analysed data of 406 women with invasive breast cancer, treated with NAC and breast-conserving therapy between 1994 and 2014 in two certified Austrian breast health centres. We compared R ≤ 1 mm, R > 1 mm and RX (pCR) for local recurrence-free survival (LRFS), disease-free survival (DFS) and overall survival (OS). Results After a median follow-up of 84.3 months, the 5-year LRFS (R ≤ 1 mm: 94.2%, R > 1 mm: 90.6%, RX: 95.0%; p = 0.940), the 5-year DFS (R ≤ 1 mm: 71.9%, R > 1 mm: 74.1%, RX: 87.2%; p = 0.245) and the 5-year OS (R ≤ 1 mm: 85.1%, R > 1 mm: 88.0%, RX: 96.4%; p = 0.236) did not differ significantly between narrow, wide, nor RX resections. Regarding DFS and OS, a negative nodal status reduced the hazard ratio significantly. Conclusion There is no significant difference in LRFS, DFS and OS comparing close, wide or unknown margins after pCR. We suggest that resection in new margins after NAC is safe according to “no tumour on ink”. Resection of the clipped area in cases of pCR is emphasized.


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