Planned Segmentectomy

A Necessity for Breast Carcinoma

Lorraine Tafra, J. Michael Guenther, Armando E. Giuliano

Research output: Contribution to journalArticle

Abstract

Objective and Design: Some surgeons consider excisional biopsy with gross negative margins to be adequate surgical therapy for breast carcinomas, if followed by axillary dissection and radiation. To test our hypothesis that breast carcinoma necessitates planned operation, we reviewed the incidence of residual cancer tissue (RCT) and the significance of positive margins following excisional breast biopsy and segmentectomy. Setting, Patients, and Intervention/Outcome Measures: Using the clinical database of our multidisciplinary cancer center, we examined the tumor status of segmentectomy specimens from 375 patients treated for breast carcinoma during the past 10 years. All patients underwent excisional biopsy of the tumor mass before definitive treatment with segmentectomy and axillary dissection. Median follow-up was 32 months. Results: The 284 patients (76%) whose segmentectomy specimens contained residual tumor (RCT-positive patients) had a larger median tumor diameter than RCT-negative patients (2 vs 1 cm, P

Original languageEnglish (US)
Pages (from-to)1014-1020
Number of pages7
JournalArchives of Surgery
Volume128
Issue number9
DOIs
StatePublished - 1993
Externally publishedYes

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Segmental Mastectomy
Residual Neoplasm
Breast Neoplasms
Biopsy
Dissection
Neoplasms
Breast
Outcome Assessment (Health Care)
Databases
Radiation
Incidence
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Planned Segmentectomy : A Necessity for Breast Carcinoma. / Tafra, Lorraine; Guenther, J. Michael; Giuliano, Armando E.

In: Archives of Surgery, Vol. 128, No. 9, 1993, p. 1014-1020.

Research output: Contribution to journalArticle

Tafra, Lorraine ; Guenther, J. Michael ; Giuliano, Armando E. / Planned Segmentectomy : A Necessity for Breast Carcinoma. In: Archives of Surgery. 1993 ; Vol. 128, No. 9. pp. 1014-1020.
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