The impact of intraoperative cavity shaving on re-excision rates in breast-conserving surgery


Ilhan B., Bademler S., Kilic B., Onder S., KARANLIK H.

JOURNAL OF SURGICAL ONCOLOGY, vol.127, no.4, pp.527-534, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 127 Issue: 4
  • Publication Date: 2023
  • Doi Number: 10.1002/jso.27149
  • Journal Name: JOURNAL OF SURGICAL ONCOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.527-534
  • Keywords: breast cancer surgery, cavity shaving, margin assessment, re-excision rate, FROZEN-SECTION ANALYSIS, MARGIN ASSESSMENT, SURGICAL MARGINS, LUMPECTOMY, THERAPY, TIME, MASTECTOMY, CARCINOMA, REEXCISION, RECURRENCE
  • Istanbul University Affiliated: Yes

Abstract

Background and ObjectivesThis trial aimed to investigate the effects of circumferential shaving on reducing the reoperation rates during breast-conserving surgery (BCS). MethodsIn the study, before 2014, 404 (39.9%) breast cancers (BCs) out of a total of 1012 BCs underwent BCS without intraoperative cavity shaving (ICS) and constituted the no-ICS group. After this date, ICS was added to 608 (60.1%) BCSs (ICS group) and intraoperative margin analysis was not requested from pathologists during these second BCS procedures. ResultsThe patient and BC characteristics in the no-ICS and ICS groups were similar. Carcinoma detection at the margin and reoperation rates were 13.9% in the no-ICS group and 7.6% in the ICS group (p = 0.001). No significant difference was detected between patients who underwent BCS with intraoperative frozen section analysis (FSA) and patients who underwent BCS with additional ICS (5.6% vs. 7.6%, p = 0.383). ConclusionsICS decreased the rates of positive margins and reoperations among patients with BCS to an acceptable level compared with intraoperative FSA. It may be concluded that ICS is feasible to achieve BC margin control.