caa a22 4500 445332786 CHVBK 20180317142742.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1245/s10434-010-1211-0 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1211-0 Surgical Management Modifications Following Systematic Additional Shaving of Cavity Margins in Breast-Conservation Treatment [Elektronische Daten] [Delphine Héquet, Alexandre Bricou, Yann Delpech, Emmanuel Barranger] Background: Positive wide local excision margins are the most important risk factor of local breast-carcinoma recurrence. Shaving additional margins could lower the need for re-excisions when wide local excision margins are positive and cavity margins are negative. Materials and Methods: This retrospective study, from January 2007 to December 2008, included 99 women with breast carcinomas who underwent wide local excision with 4 additional, systematically shaved, surgical cavity margins. All therapeutic decisions concerning post-wide local excision treatment were made by consensus during multidisciplinary meetings. Results: This systematic cavity-shaving strategy avoided 25 re-excisions (25.3%), and 6 patients required new surgery because of carcinoma found in the additional cavity-shaving margins, despite negative wide local excision margins. No preoperative factor predictive of positive cavity margins was identified. Conclusions: Systematic shaving of additional cavity margins changed the surgical management after breast-conservation treatment. Society of Surgical Oncology, 2010 Héquet Delphine Obstetrics and Gynecology Department, Lariboisière Hospital, Assitance Publique-Hôpitaux de Paris, Paris, France aut Bricou Alexandre Obstetrics and Gynecology Department, Lariboisière Hospital, Assitance Publique-Hôpitaux de Paris, Paris, France aut Delpech Yann Obstetrics and Gynecology Department, Lariboisière Hospital, Assitance Publique-Hôpitaux de Paris, Paris, France aut Barranger Emmanuel Obstetrics and Gynecology Department, Lariboisière Hospital, Assitance Publique-Hôpitaux de Paris, Paris, France aut Annals of Surgical Oncology Springer-Verlag 18/1(2011-01-01), 114-118 1068-9265 18:1<114 2011 18 10434 https://doi.org/10.1245/s10434-010-1211-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1211-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Héquet Delphine Obstetrics and Gynecology Department, Lariboisière Hospital, Assitance Publique-Hôpitaux de Paris, Paris, France aut NATIONALLICENCE 700 1- Bricou Alexandre Obstetrics and Gynecology Department, Lariboisière Hospital, Assitance Publique-Hôpitaux de Paris, Paris, France aut NATIONALLICENCE 700 1- Delpech Yann Obstetrics and Gynecology Department, Lariboisière Hospital, Assitance Publique-Hôpitaux de Paris, Paris, France aut NATIONALLICENCE 700 1- Barranger Emmanuel Obstetrics and Gynecology Department, Lariboisière Hospital, Assitance Publique-Hôpitaux de Paris, Paris, France aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/1(2011-01-01), 114-118 1068-9265 18:1<114 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer