Variability in Reexcision Following Breast Conservation Surgery

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Variability in reexcision following breast conservation surgery.

CONTEXT Health care reform calls for increasing physician accountability and transparency of outcomes. Partial mastectomy is the most commonly performed procedure for invasive breast cancer and often requires reexcision. Variability in reexcision might be reflective of the quality of care. OBJECTIVE To assess hospital and surgeon-specific variation in reexcision rates following partial mastec...

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Breast Imaging Following Breast Conservation Therapy

Both surgery (lumpectomy) and radiation therapy used in breast conservation › therapy (BCT) produce changes in the breast These changes must be differentiated from in-breast tumor recurrence (IBTR) › Mammographic changes after BCT may include skin edema, parenchymal • edema, scar formation, fat necrosis, calcifications Mammographic findings of IBTR can be similar • Comparison with previous st...

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Breast Conservation Surgery: State of the Art

Breast conservation surgery is available to the vast majority of women with breast cancer. The combination of neoadjuvant therapies and oncoplastic surgical techniques allows even large tumours to be managed with a breast-conserving approach. The relationship between breast size and the volume of tissue to be excised determines the need for volume displacement or replacement. Such an approach c...

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Factors correlating with reexcision after breast-conserving therapy.

AIM The aim of this study was to evaluate factors affecting the risk for reexcision following breast-conserving surgery. Positive tumor margins are critical for local disease control following surgery for breast cancer. Several factors, including tumor size, multifocality, and an extensive in situ component, may be associated with a higher rate of repeat operations due to positive margins. This...

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quality of life after breast conservation versus oncoplastic surgery

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ژورنال

عنوان ژورنال: JAMA

سال: 2012

ISSN: 0098-7484

DOI: 10.1001/jama.2012.43