Systematic cavity shaves reduces close margins and re-excision rates in breast conserving surgery
Systematic cavity shaves reduces close margins and re-excision rates in breast conserving surgery
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DOI：
10.1016/j.breast.2005.10.006
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发表时间：
2006-06-01
期刊：
影响因子：
3.9
通讯作者：
Isgar, B.
中科院分区：
文献类型：
--
作者：
Janes, S. E. J.;Stankhe, M.;Isgar, B.
在保乳手术（BCS）中，腔剃在降低再切除率中的作用尚不清楚。我们比较了术中放射学或系统腔刮术后闭合边缘和再切除的比率。从1999年到2003年，前瞻性地记录了217例接受BCS的患者的数据。对于前106例患者，术中放射学边缘出现接近（< 10 mm）时进行空腔刮刀。其余111例有系统上下腔刮刮术（sssics）。比较两组间切缘闭合率和再切率。第二组切除组织的中位重量较小，分别为82.8g和100.5 g, P - 0.001。sics减少了83%的闭合间隙（18/106比8/111），OR 0.17, 95% CI 0.08-0.48, P = 0.001。多因素分析显示，sics也降低了再切除率（15例对8例），OR 0.26, 95% CI 0.09-0.74, P - 0.012。SSICS减少了闭合切缘和再切除率。这种方法有额外的美容效益，因为较少的组织被切除。(c) 2005 Elsevier Ltd版权所有。
The role of cavity shaves in reducing re-excision rates in breast conserving surgery (BCS) remains unclear. We compared rates of close margins and re-excision following cavity shaves based on either intraoperative radiology or systematic cavity shaves. Data was recorded prospectively from1999 to 2003 for 217 patients undergoing BCS. For the first 106 cases, cavity shaves were performed when intraoperative radiological margins appeared close (< 10 mm). The remaining 111 cases had systematic superior and inferior cavity shaves (SSICS). Close margins and re-excision rates were compared between groups. The median weight of excised tissue was less in group two: 82.8g versus 100.5 g, P - 0.001. SSICS reduced close margins by 83% (18/106 versus 8/111), OR 0.17, 95% CI 0.08-0.48, P = 0.001. Multivariate analysis showed SSICS also reduced re-excision rates (15 versus 8 cases), OR 0.26, 95% CI 0.09-0.74, P - 0.012. SSICS reduces close margins and re-excision rates. This approach has additional cosmetic benefits because less tissue is excised. (c) 2005 Elsevier Ltd. All rights reserved.