Open AccessAdoption of SSO-ASTRO Margin Guidelines for Ductal Carcinoma in Situ: What Is the Impact on Use of Additional Surgery?
Author(s) -
Anita Mamtani,
Anya Romanoff,
Raymond E. Baser,
A. Vincent,
Monica Morrow,
Mary L. Gemignani
Publication year - 2020
Publication title -
annals of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.764
H-Index - 173
eISSN - 1534-4681
pISSN - 1068-9265
DOI - 10.1245/s10434-020-08610-7
Subject(s) - medicine , guideline , mastectomy , breast conserving surgery , ductal carcinoma , surgical oncology , breast surgery , surgery , radiation therapy , breast cancer , general surgery , cancer , pathology
Historically, more than one-third of patients with ductal carcinoma in situ (DCIS) treated with breast-conserving surgery (BCS) underwent additional surgery. The SSO-ASTRO guidelines advise 2 mm margins for patients with DCIS having BCS and whole-breast radiation (WBRT). Here we examine guideline impact on additional surgery and factors associated with re-excision.