Difference between revisions of "Surgical margins"

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1,029 bytes added ,  01:31, 28 August 2012
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|[[Vulvar carcinoma]]
|[[Vulvar carcinoma]]
| 0.8 cm (fixed)<ref name=pmid21669423/>
| 1.0 cm (fresh)<ref name=pmid21669423>{{Cite journal  | last1 = Palaia | first1 = I. | last2 = Bellati | first2 = F. | last3 = Calcagno | first3 = M. | last4 = Musella | first4 = A. | last5 = Perniola | first5 = G. | last6 = Panici | first6 = PB. | title = Invasive vulvar carcinoma and the question of the surgical margin. | journal = Int J Gynaecol Obstet | volume = 114 | issue = 2 | pages = 120-3 | month = Aug | year = 2011 | doi = 10.1016/j.ijgo.2011.02.012 | PMID = 21669423 }}</ref>
| 1.0 cm (fresh)<ref name=pmid21669423>{{Cite journal  | last1 = Palaia | first1 = I. | last2 = Bellati | first2 = F. | last3 = Calcagno | first3 = M. | last4 = Musella | first4 = A. | last5 = Perniola | first5 = G. | last6 = Panici | first6 = PB. | title = Invasive vulvar carcinoma and the question of the surgical margin. | journal = Int J Gynaecol Obstet | volume = 114 | issue = 2 | pages = 120-3 | month = Aug | year = 2011 | doi = 10.1016/j.ijgo.2011.02.012 | PMID = 21669423 }}</ref>
| 0.8 cm (fixed)<ref name=pmid21669423/>
| [[Gynecologic pathology]]
| [[Gynecologic pathology]]
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|[[Malignant melanoma]]
|[[Malignant melanoma]]
| [[MIS]]: 5 mm (consensus in 1992)<ref name=pmid22196979>{{Cite journal  | last1 = Kunishige | first1 = JH. | last2 = Brodland | first2 = DG. | last3 = Zitelli | first3 = JA. | title = Surgical margins for melanoma in situ. | journal = J Am Acad Dermatol | volume = 66 | issue = 3 | pages = 438-44 | month = Mar | year = 2012 | doi = 10.1016/j.jaad.2011.06.019 | PMID = 22196979 }}</ref> considered inadequate<ref name=pmid19050971>{{Cite journal  | last1 = Möller | first1 = MG. | last2 = Pappas-Politis | first2 = E. | last3 = Zager | first3 = JS. | last4 = Santiago | first4 = LA. | last5 = Yu | first5 = D. | last6 = Prakash | first6 = A. | last7 = Kinal | first7 = A. | last8 = Clark | first8 = GS. | last9 = Zhu | first9 = W. | title = Surgical management of melanoma-in-situ using a staged marginal and central excision technique. | journal = Ann Surg Oncol | volume = 16 | issue = 6 | pages = 1526-36 | month = Jun | year = 2009 | doi = 10.1245/s10434-008-0239-x | PMID = 19050971 }}</ref>
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|| "no minimum safe distance established" - CAP protocol;<ref>URL: [http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2012/SkinMelanoma_12protocol.pdf http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2012/SkinMelanoma_12protocol.pdf]. Accessed on: 19 August 2012.</ref>  
*[[MIS]]: 5 mm<ref name=pmid22196979>{{Cite journal  | last1 = Kunishige | first1 = JH. | last2 = Brodland | first2 = DG. | last3 = Zitelli | first3 = JA. | title = Surgical margins for melanoma in situ. | journal = J Am Acad Dermatol | volume = 66 | issue = 3 | pages = 438-44 | month = Mar | year = 2012 | doi = 10.1016/j.jaad.2011.06.019 | PMID = 22196979 }}</ref> considered inadequate by some<ref name=pmid19050971>{{Cite journal  | last1 = Möller | first1 = MG. | last2 = Pappas-Politis | first2 = E. | last3 = Zager | first3 = JS. | last4 = Santiago | first4 = LA. | last5 = Yu | first5 = D. | last6 = Prakash | first6 = A. | last7 = Kinal | first7 = A. | last8 = Clark | first8 = GS. | last9 = Zhu | first9 = W. | title = Surgical management of melanoma-in-situ using a staged marginal and central excision technique. | journal = Ann Surg Oncol | volume = 16 | issue = 6 | pages = 1526-36 | month = Jun | year = 2009 | doi = 10.1245/s10434-008-0239-x | PMID = 19050971 }}</ref>
*<2 mm invasion: 10 mm<ref name=pmid11013363>{{Cite journal  | last1 = Cohn-Cedermark | first1 = G. | last2 = Rutqvist | first2 = LE. | last3 = Andersson | first3 = R. | last4 = Breivald | first4 = M. | last5 = Ingvar | first5 = C. | last6 = Johansson | first6 = H. | last7 = Jönsson | first7 = PE. | last8 = Krysander | first8 = L. | last9 = Lindholm | first9 = C. | title = Long term results of a randomized study by the Swedish Melanoma Study Group on 2-cm versus 5-cm resection margins for patients with cutaneous melanoma with a tumor thickness of 0.8-2.0 mm. | journal = Cancer | volume = 89 | issue = 7 | pages = 1495-501 | month = Oct | year = 2000 | doi =  | PMID = 11013363 }}</ref><ref name=pmid2009058>{{Cite journal  | last1 = Veronesi | first1 = U. | last2 = Cascinelli | first2 = N. | title = Narrow excision (1-cm margin). A safe procedure for thin cutaneous melanoma. | journal = Arch Surg | volume = 126 | issue = 4 | pages = 438-41 | month = Apr | year = 1991 | doi =  | PMID = 2009058 }}</ref>
*>2 mm invasion: 20 mm
 
|| "no minimum safe distance established" - CAP protocol<ref>URL: [http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2012/SkinMelanoma_12protocol.pdf http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2012/SkinMelanoma_12protocol.pdf]. Accessed on: 19 August 2012.</ref>  
| [[Dermatopathology]]
| [[Dermatopathology]]
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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>
| > 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>
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| [[Breast pathology]]
| [[Breast pathology]]
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