AORN Journal
Volume 90, Issue 4 , Pages 525-529 , October 2009

An Improved Process for Breast Cancer Margin Identification and Orientation

  • Mary Beland, RN, MSN, CNOR

      Affiliations

    • Mary Beland, RN, MSN, CNOR, is an RN first assistant, Perioperative Services, at Bristol Hospital, Bristol CT.

References 

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  5. Veronesi U , Cascinelli N , Mariani L , et al.   Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer . N Engl J Med . 2002;347(16):1227–1232
  6. Fisher B , Anderson S , Bryant J , et al.   Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer . N Engl J Med . 2002;347(16):1233–1241
  7. Silverstein MJ , Lagios MD , Groshen S , et al.   The influence of margin width on local control of ductal carcinoma in situ of the breast . N Engl J Med . 1999;340(19):1455–1461
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  9. Scarth H , Cantin J , Levine M , Steering Committee on Clinical Practice Guidelines for the Care and Treatment of Breast Cancer  . Clinical practice guidelines for the care and treatment of breast cancer: mastectomy or lumpectomy? The choice of operation for clinical stages I and II breast cancer (summary of the 2002 update) . CMAJ . 2002;167(2):154–155
  10. Kunos C , Latson L , Overmoyer B , et al.   Breast conservation surgery achieving ≥2 mm tumor-free margins results in decreased local-regional recurrence rates . Breast J . 2006;12(1):28–36
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  13. Horst K , Smitt M , Goffinet D . Predictors of re-excision findings and ipsilateral breast tumor recurrence after breast conservation therapy . Current Medical Literature: Breast Cancer . 2004;16(4):73–81
  14. Balch GC , Mithani SK , Simpson JF , Kelley MC . Accuracy of intraoperative gross examination of surgical margin status in women undergoing partial mastectomy for breast malignancy . American Surgeon . 2005;71(1):22–28
  15. Wong JW , Bai H , Abdul-Karim FW , MacLennan GT . Simulation of microcalcifications on specimen radiographs of breast biopsies by inks used in marking the surgical resection margins . Breast J . 2004;10(5):423–426
  16. Blair SL , Wang-Rodriguez J , Cortes-Mateos MJ , et al.   Enhanced touch preps improve the ease of interpretation of intraoperative breast cancer margins . Am Surg . 2007;73(10):973–976
  17. Buman SJ , Clark DA . Breast intraoperative ultrasound: prospective study in 112 patients with impalpable lesions . ANZ J Surg . 2005;75(3):124–127
  18. Bennett IC , Greenslade J , Chiam H . Intraoperative ultrasound-guided excision of nonpalpable breast lesions . World J Surg . 2005;29(3):369–374
  19. Sayre JT , Bober SE . Making your mark: Beekley device standardizes surgical specimen margin orientation . ADVANCE for Imaging and Oncology Administrators . September 2004;85
  20. Molina MA , Snell S , Franceschi D , et al.   Breast specimen orientation . Ann Surg Oncol . 2009;16(2):285–288 Epub December 3, 2008.
  21. Policy statement on routine orientation of excised breast specimens. June 6, 2005. American Society of Breast Disease . https://www.netforumondemand.com/eWeb/DynamicPage.aspx?Site=asbd&WebCode=ArticleDetail&faq_key=16e23540-c335-4eb9-865c-a594a34ddf57 Accessed August 28, 2009.

 Editor's notes: MarginMap is a trademark of Beekley Corp, Bristol, CT. Publication of this article does not imply AORN endorsement of specific products.

PII: S0001-2092(09)00535-3

doi: 10.1016/j.aorn.2009.06.030

AORN Journal
Volume 90, Issue 4 , Pages 525-529 , October 2009

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