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Year : 2018  |  Volume : 7  |  Issue : 2  |  Page : 72-78

Practical consensus recommendations for tumor margins and breast conservative surgery

1 Department of Surgical Oncology, Apollo Indraprastha Hospital, New Delhi, India
2 Department of Surgical Oncology, Manipal Hospital, Bengaluru, Karnataka, India
3 Department of Surgical Oncology, Rajiv Gandhi Cancer Hospital, New Delhi, India
4 Department of Surgical Oncology, Jaypee Hospital, Noida, Uttar Pradesh, India
5 Department of Surgical Oncology, Fortis Hospital, Mohali, Punjab, India
6 Department of Surgery, Sir Ganga Ram Hospital, New Delhi, India
7 Department of Surgical Oncology, Max Hospital, New Delhi, India
8 Department of Oncology, Shalby Cancer and Research Institute, Mumbai, Maharashtra, India
9 Department of Medical Oncology, Sir Ganga Ram Hospital, New Delhi, India
10 Department of Surgical Oncology, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Dr. R Koul
Department of Surgical Oncology, Sir Ganga Ram Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sajc.sajc_105_18

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My suggestion: There is no difference in survival of breast cancer patients treated with either mastectomy or with breast conservation therapy combined with external beam radiotherapy. A positive margin (s) is an important factor contributing to the increased risk of local recurrence. However, in published literature, there is a lack of consensus on the definition of acceptable margin (s). As a result decision process about need for re-excision after positive margins remains uncrear.

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