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Difference between revisions of "Surgical margins"
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→Adequate margins by tumour
(→Adequate margins by tumour: more refs) |
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|[[Malignant melanoma]] | |[[Malignant melanoma]] | ||
| same as clinical (interesting is that CAP says "no minimum safe distance established"<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>) | |||
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*[[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> | *[[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: 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 | *>2 mm invasion: 20 mm | ||
| [[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> | ||
| [[Breast pathology]] | | [[Breast pathology]] | ||
|} | |} | ||