Fiche publication
Date publication
août 2011
Journal
Breast (Edinburgh, Scotland)
Auteurs
Membres identifiés du Cancéropôle Est :
Pr COUTANT Charles
Tous les auteurs :
Feron JG, Nguyen A, Bézu C, Antoine M, Darai E, Coutant C, Rouzier R, Uzan S
Lien Pubmed
Résumé
In breast conserving surgery (BCS), the usefulness to perform systematic cavity shaving is actively debated. Some investigators argued that systematic cavity shaving could avoid surgical re-excision and make diagnosis of unexpected multifocality. Others argued that usefulness of cavity shaving depends on volumes of resection. In this study one hundred patients undergoing BCS with systematic cavity shaving were included. Margins less than 3 mm were considered to be insufficient. We tested clinico-pathological characteristics in order to identify predictive model of cavity margin shaving utility and we sought to determine if cavity margin shaving usefulness depends on volumes of resection. We showed that cavity shaving avoids the need for re-excision in 24% of cases as well as diagnosis of multifocality in 6% of cases. However, the clinical usefulness of cavity shaving was not related to the volumes of resection.
Mots clés
Adult, Aged, Aged, 80 and over, Breast Neoplasms, pathology, Female, Follow-Up Studies, Humans, Mastectomy, Segmental, methods, Middle Aged, Neoplasm Invasiveness, Neoplasm Recurrence, Local, pathology, Reoperation, Survival Analysis, Treatment Outcome
Référence
Breast. 2011 Aug;20(4):358-64
