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As breast conserving therapy has become the standard of care for patients with early stage breast cancer, an area of debate within the surgical literature has been the rate of positive surgical margins requiring re-excision. National re-excision rates are highly variable and have been reported as high as 40%. Any cancer diagnosis and treatment is stressful for patients and having to return to the operating room for a second surgery can greatly affect both patient satisfaction and cosmetic outcomes. Within our institution we wanted to investigate over ten years our population undergoing breast conserving therapy to determine re-excision rates and compare to nationally reported rates. We also wanted to examine our re-excision rate following the January 2013 position statement from the American Society of Breast Surgeons that proposed a treatment algorithm for determining the need for re-excision of surgical margins. Our overall re-excision rates were found to be 17%, compared to the national reported rates of 20-40%. In addition our re-excision rates decreased after January 2013 from 23% to 9%.

Re-Excision Rates Following Breast Conserving Therapy: A Single Institutions Experience Over Ten Years