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Difference between revisions of "Surgical margins"
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→Adequate margins by tumour: more
(→Adequate margins by tumour: tweak +ref) |
(→Adequate margins by tumour: more) |
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| [[Colorectal carcinoma]] | | [[Colorectal carcinoma]] | ||
| >1 mm<ref>{{Cite journal | last1 = Fitzgerald | first1 = TL. | last2 = Brinkley | first2 = J. | last3 = Zervos | first3 = EE. | title = Pushing the envelope beyond a centimeter in rectal cancer: oncologic implications of close, but negative margins. | journal = J Am Coll Surg | volume = 213 | issue = 5 | pages = 589-95 | month = Nov | year = 2011 | doi = 10.1016/j.jamcollsurg.2011.07.020 | PMID = 21856181 }}</ref> | | >1 mm;<ref>{{Cite journal | last1 = Fitzgerald | first1 = TL. | last2 = Brinkley | first2 = J. | last3 = Zervos | first3 = EE. | title = Pushing the envelope beyond a centimeter in rectal cancer: oncologic implications of close, but negative margins. | journal = J Am Coll Surg | volume = 213 | issue = 5 | pages = 589-95 | month = Nov | year = 2011 | doi = 10.1016/j.jamcollsurg.2011.07.020 | PMID = 21856181 }}</ref><ref name=pmid2430152>{{Cite journal | last1 = Quirke | first1 = P. | last2 = Durdey | first2 = P. | last3 = Dixon | first3 = MF. | last4 = Williams | first4 = NS. | title = Local recurrence of rectal adenocarcinoma due to inadequate surgical resection. Histopathological study of lateral tumour spread and surgical excision. | journal = Lancet | volume = 2 | issue = 8514 | pages = 996-9 | month = Nov | year = 1986 | doi = | PMID = 2430152 }}</ref> circumferential margin (esp. in rectal carcinoma) most important<ref name=pmid7915774>{{Cite journal | last1 = Adam | first1 = IJ. | last2 = Mohamdee | first2 = MO. | last3 = Martin | first3 = IG. | last4 = Scott | first4 = N. | last5 = Finan | first5 = PJ. | last6 = Johnston | first6 = D. | last7 = Dixon | first7 = MF. | last8 = Quirke | first8 = P. | title = Role of circumferential margin involvement in the local recurrence of rectal cancer. | journal = Lancet | volume = 344 | issue = 8924 | pages = 707-11 | month = Sep | year = 1994 | doi = | PMID = 7915774 }}</ref> | ||
| 1 cm<ref name=pmid18766404>{{Cite journal | last1 = Rutkowski | first1 = A. | last2 = Bujko | first2 = K. | last3 = Nowacki | first3 = MP. | last4 = Chmielik | first4 = E. | last5 = Nasierowska-Guttmejer | first5 = A. | last6 = Wojnar | first6 = A. | title = Distal bowel surgical margin shorter than 1 cm after preoperative radiation for rectal cancer: is it safe? | journal = Ann Surg Oncol | volume = 15 | issue = 11 | pages = 3124-31 | month = Nov | year = 2008 | doi = 10.1245/s10434-008-0125-6 | PMID = 18766404 }}</ref> | | 1 cm<ref name=pmid18766404>{{Cite journal | last1 = Rutkowski | first1 = A. | last2 = Bujko | first2 = K. | last3 = Nowacki | first3 = MP. | last4 = Chmielik | first4 = E. | last5 = Nasierowska-Guttmejer | first5 = A. | last6 = Wojnar | first6 = A. | title = Distal bowel surgical margin shorter than 1 cm after preoperative radiation for rectal cancer: is it safe? | journal = Ann Surg Oncol | volume = 15 | issue = 11 | pages = 3124-31 | month = Nov | year = 2008 | doi = 10.1245/s10434-008-0125-6 | PMID = 18766404 }}</ref> | ||
| [[Gastrointestinal pathology]] | | [[Gastrointestinal pathology]] | ||
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| [[Ductal carcinoma in situ]] | | [[Ductal carcinoma in situ]] | ||
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| > 2mm<ref>{{Cite journal | last1 = Dunne | first1 = C. | last2 = Burke | first2 = JP. | last3 = Morrow | first3 = M. | last4 = Kell | first4 = MR. | title = Effect of margin status on local recurrence after breast conservation and radiation therapy for ductal carcinoma in situ. | journal = J Clin Oncol | volume = 27 | issue = 10 | pages = 1615-20 | month = Apr | year = 2009 | doi = 10.1200/JCO.2008.17.5182 | PMID = 19255332 }}</ref>; if < 1 mm patient | | > 2mm<ref>{{Cite journal | last1 = Dunne | first1 = C. | last2 = Burke | first2 = JP. | last3 = Morrow | first3 = M. | last4 = Kell | first4 = MR. | title = Effect of margin status on local recurrence after breast conservation and radiation therapy for ductal carcinoma in situ. | journal = J Clin Oncol | volume = 27 | issue = 10 | pages = 1615-20 | month = Apr | year = 2009 | doi = 10.1200/JCO.2008.17.5182 | PMID = 19255332 }}</ref>; if < 1 mm patient benefits from radiation<ref name=pmid10320383>{{Cite journal | last1 = Silverstein | first1 = MJ. | last2 = Lagios | first2 = MD. | last3 = Groshen | first3 = S. | last4 = Waisman | first4 = JR. | last5 = Lewinsky | first5 = BS. | last6 = Martino | first6 = S. | last7 = Gamagami | first7 = P. | last8 = Colburn | first8 = WJ. | title = The influence of margin width on local control of ductal carcinoma in situ of the breast. | journal = N Engl J Med | volume = 340 | issue = 19 | pages = 1455-61 | month = May | year = 1999 | doi = 10.1056/NEJM199905133401902 | PMID = 10320383 }}</ref> | ||
| [[Breast pathology]] | | [[Breast pathology]] | ||
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