The Practice Patterns and Perceptions of Korean Surgeons Regarding Margin Status after Breast-Conserving Surgery.
10.4048/jbc.2017.20.4.400
- Author:
Tae Kyung YOO
1
;
Sung Won KIM
;
Eunyoung KANG
;
Sung Gwe AHN
;
Ki Tae HWANG
;
Seung Ki KIM
;
Sang Uk WOO
;
Hyuk Jai SHIN
;
Young Jin SONG
;
Eun Jung JUNG
;
Myung Chul CHANG
;
Ilkyun LEE
;
Woo Chan PARK
Author Information
1. Department of Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
- Publication Type:Brief Communication
- Keywords:
Frozen sections;
Margins of excision;
Segmental mastectomy;
Surveys and questionnaires
- MeSH:
Biopsy;
Breast;
Carcinoma, Intraductal, Noninfiltrating;
Follow-Up Studies;
Frozen Sections;
Ink;
Korea;
Mastectomy, Segmental*;
Surgeons*;
Surveys and Questionnaires
- From:Journal of Breast Cancer
2017;20(4):400-403
- CountryRepublic of Korea
- Language:English
-
Abstract:
Two consecutive surveys for breast surgeons in Korea were conducted to comprehend the practice patterns and perceptions on margin status after breast-conserving surgery. The surveys were conducted online in 2014 (initial) and 2016 (follow-up). A total of 126 and 88 responses were obtained in the initial and follow-up survey, respectively. More than 80% of the respondents replied to routinely apply frozen section biopsy for intraoperative margin assessment in both surveys. Re-excision recommendations of the margin for invasive cancer significantly changed from a close margin to a positive margin over time (p=0.033). Most of the respondents (73.8%) defined a negative margin as “no ink on tumor” in invasive cancer, whereas more diverse responses were observed in ductal carcinoma in situ cases. The influence of guideline establishment for negative margins has been identified. A high uptake rate of intraoperative frozen section biopsy was noted and routine use needs reconsideration.
