collection
https://read.qxmd.com/read/27528719/society-of-surgical-oncology-american-society-for-radiation-oncology-american-society-of-clinical-oncology-consensus-guideline-on-margins-for-breast-conserving-surgery-with-whole-breast-irradiation-in-ductal-carcinoma-in-situ
#1
Monica Morrow, Kimberly J Van Zee, Lawrence J Solin, Nehmat Houssami, Mariana Chavez-MacGregor, Jay R Harris, Janet Horton, Shelley Hwang, Peggy L Johnson, M Luke Marinovich, Stuart J Schnitt, Irene Wapnir, Meena S Moran
Background Controversy exists regarding the optimal negative margin width for ductal carcinoma in situ (DCIS) treated with breast-conserving surgery and whole-breast irradiation (WBRT). Methods A multidisciplinary consensus panel used a meta-analysis of margin width and ipsilateral breast tumor recurrence (IBTR) from a systematic review of 20 studies including 7883 patients and other published literature as the evidence base for consensus. Results Negative margins halve the risk of IBTR compared with positive margins defined as ink on DCIS...
November 20, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://read.qxmd.com/read/25551530/atypical-hyperplasia-of-the-breast-risk-assessment-and-management-options
#2
Lynn C Hartmann, Amy C Degnim, Richard J Santen, William D Dupont, Karthik Ghosh
New England Journal of Medicine, Volume 372, Issue 1, Page 78-89, January 2015.
January 1, 2015: New England Journal of Medicine
https://read.qxmd.com/read/25521007/landmark-clinical-trials-influencing-surgical-management-of-non-invasive-and-invasive-breast-cancer
#3
REVIEW
Thomas B Julian, Charis A Venditti, Shivani Duggal
The surgical management of breast cancer has changed considerably since the use of the Halstedian radical mastectomy early in the 20th century. Over the last 50 years, several landmark clinical trials from the USA and Europe have resulted in a paradigm shift in the management of breast cancer toward less radical forms of surgery with the combined use of multi-modality treatments including systemic chemotherapy, endocrine therapy, and radiotherapy. Advances in such research have established a new worldwide standard of care for breast cancer surgical management and treatment, which has become more patient centric and which places a higher emphasis on cosmesis and improved patient quality of life...
January 2015: Breast Journal
https://read.qxmd.com/read/25384280/to-do-or-not-to-do-axillary-nodal-evaluation-after-acosog-z0011-trial
#4
REVIEW
Kathryn L Humphrey, Mansi A Saksena, Phoebe E Freer, Barbara L Smith, Elizabeth A Rafferty
Methods of axillary evaluation in invasive breast cancer continue to evolve. The recent American College of Surgeons Oncology Group Z0011 Trial is a prospective, randomized, multicenter trial that compared the survival and locoregional recurrence rates after complete axillary lymph node dissection (ALND) versus sentinel node biopsy (SNB) alone in women with a positive sentinel node in an effort to avoid the complications associated with ALND. As the results of this trial are implemented clinically, affecting surgical management of axillary metastatic disease, radiologists may need to redefine their role in the preoperative assessment of the axilla...
November 2014: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://read.qxmd.com/read/24516019/society-of-surgical-oncology-american-society-for-radiation-oncology-consensus-guideline-on-margins-for-breast-conserving-surgery-with-whole-breast-irradiation-in-stages-i-and-ii-invasive-breast-cancer
#5
Meena S Moran, Stuart J Schnitt, Armando E Giuliano, Jay R Harris, Seema A Khan, Janet Horton, Suzanne Klimberg, Mariana Chavez-MacGregor, Gary Freedman, Nehmat Houssami, Peggy L Johnson, Monica Morrow
PURPOSE: Controversy exists regarding the optimal margin width in breast-conserving surgery for invasive breast cancer. METHODS: A multidisciplinary consensus panel used a meta-analysis of margin width and ipsilateral breast tumor recurrence (IBTR) from a systematic review of 33 studies including 28,162 patients as the primary evidence base for consensus. RESULTS: Positive margins (ink on invasive carcinoma or ductal carcinoma in situ) are associated with a two-fold increase in the risk of IBTR compared with negative margins...
May 10, 2014: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://read.qxmd.com/read/11223842/simple-technique-of-early-identification-of-the-thoracodorsal-nerve-during-axillary-dissection
#6
V P Khatri, T Hurd, S B Edge
No abstract text is available yet for this article.
February 2001: Journal of Surgical Oncology
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