ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
medimedia.ir

Routine cavity shave margins

Routine cavity shave margins
Study Type Intervention Re-excision rate
Arm n Percent p value
Kobbermann et al[1] Retrospective CSM 69 21.7 0.011
SPM 69 42.0
Marudanayagam et al[2] Retrospective CSM 394 5.58 <0.01
SPM 392 12.5
Unzeitig et al[3] Retrospective CSM 67 23.9 0.0003
SPM 455 46.8
Janes et al[4] Retrospective CSM 106 7.2 0.001
SPM 111 17.0
Huston et al[5] Retrospective CSM 45 17.7 NS
SCSM 77 32.5
SPM 49 38.7
Chagpar et al[6] Prospective RCT CSM 119 10.1 0.02
SPM 116 20.7
Jones et al[7] Prospective RCT CSM 45 15.6 0.005
SPM 31 45.2
Dupont et al[8] Prospective RCT CSM 196 8.7 <0.001
SPM 200 23.5
CSM: cavity shave margins, which means resection of all shave margins circumferentially around the cavity regardless of what the specimen radiograph or gross evaluation indicates; SPM: standard partial mastectomy, which means resection of the lumpectomy alone without any additional shave margin; SCSM: selective cavity shave margins, which means resection of selective shave margins at a side where the surgeon feels that the tumor may be close to the edge either by gross or radiographic assessment; NS: not specified; RCT: randomized controlled trial.
References:
  1. Kobbermann A, Unzeitig A, Xie XJ, et al. Impact of routine cavity shave margins on breast cancer re-excision rates. Ann Surg Oncol 2011; 18:1349.
  2. Marudanayagam R, Singhal R, Tanchel B, et al. Effect of cavity shaving on reoperation rate following breast-conserving surgery. Breast J 2008; 14:570.
  3. Unzeitig A, Kobbermann A, Xie XJ, et al. Influence of surgical technique on mastectomy and reexcision rates in breast-conserving therapy for cancer. Int J Surg Oncol 2012; 2012:725121.
  4. Janes SE, Stankhe M, Singh S, Isgar B. Systematic cavity shaves reduces close margins and re-excision rates in breast conserving surgery. Breast 2006; 15:326.
  5. Huston TL, Pigalarga R, Osborne MP, Tousimis E. The influence of additional surgical margins on the total specimen volume excised and the reoperative rate after breast-conserving surgery. Am J Surg 2006; 192:509.
  6. Chagpar AB, Killelea BK, Tsangaris TN, et al. A randomized, controlled trial of cavity shave margins in breast cancer. N Engl J Med 2015; 373:503.
  7. Jones V, Linebarger J, Perez S et al. Excising additional margins at initial breast-conserving surgery (BCS) reduces the need for re-excision in a predominantly African American population: A report of a randomized prospective study in a public hospital. Ann Surg Oncol 2016; 23:456.
  8. Dupont E, Tsangaris T, Garcia-Cantu C, et al. Resection of cavity shave margins in stage 0-III breast cancer patients undergoing breast conserving surgery: A prospective multicenter randomized controlled trial. Ann Surg 2021; 273:876.
Graphic 117270 Version 4.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟