Difference between revisions of "Surgical margins"

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It may be useful to differentiate ''pathologic margin'' (tumour touching ink) and ''oncologic margin'' (tumour sufficiently clear of margin to not affect the prognosis).  Oncologists, surgeons and patients really only care about ''oncologic margin'' for relatively obvious reasons.
It may be useful to differentiate ''pathologic margin'' (tumour touching ink) and ''oncologic margin'' (tumour sufficiently clear of margin to not affect the prognosis).  Oncologists, surgeons and patients really only care about ''oncologic margin'' for relatively obvious reasons.


Perhaps confusing is that: ''a [pathologically] clear margin'' may be defined as being ''[oncologically] a positive margin'', i.e. tumour clear of the inked margin but less than 1 mm from the ink may be a "positive margin".<ref name=pmid16509840>{{cite journal |authors=Scopa CD, Aroukatos P, Tsamandas AC, Aletra C |title=Evaluation of margin status in lumpectomy specimens and residual breast carcinoma |journal=Breast J |volume=12 |issue=2 |pages=150–3 |date=2006 |pmid=16509840 |doi=10.1111/j.1075-122X.2006.00223.x |url=}}</ref>
Perhaps confusing is that: ''a [pathologically] clear margin'' may be defined as being ''[oncologically] a positive margin'', e.g. tumour clear of the inked margin but less than 1 mm from the ink may be a "positive margin".<ref name=pmid16509840>{{cite journal |authors=Scopa CD, Aroukatos P, Tsamandas AC, Aletra C |title=Evaluation of margin status in lumpectomy specimens and residual breast carcinoma |journal=Breast J |volume=12 |issue=2 |pages=150–3 |date=2006 |pmid=16509840 |doi=10.1111/j.1075-122X.2006.00223.x |url=}}</ref>


==Adequate margin==
==Adequate margin==
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