Trends in Reoperation After Initial Lumpectomy for Breast Cancer: Addressing Overtreatment in Surgical Management.

ABSTRACT:

Importance

Surgery after initial lumpectomy to obtain more widely clear margins is common and may lead to mastectomy.

Objective

To describe surgeons' approach to surgical margins for invasive breast cancer, and changes in postlumpectomy surgery rates, and final surgical treatment following a 2014 consensus statement endorsing a margin of "no ink on tumor."

Design, setting, and participants

This was a population-based cohort survey study of 7303 eligible women ages 20 to 79 years with stage I and II breast cancer diagnosed in 2013 to 2015 and identified from the Georgia and Los Angeles County, California, Surveillance, Epidemiology, and End Results registries. A total of 5080 (70%) returned a survey. Those with bilateral disease, missing stage or treatment data, and wi

SUBMITTER: Morrow M 

PROVIDER: S-EPMC5710510 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature