Toolbox to Reduce Lumpectomy Reoperations and Improve Cosmetic Outcome in Breast Cancer Patients: The American Society of Breast Surgeons Consensus ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-10

AUTHORS

Jeffrey Landercasper, Deanna Attai, Dunya Atisha, Peter Beitsch, Linda Bosserman, Judy Boughey, Jodi Carter, Stephen Edge, Sheldon Feldman, Joshua Froman, Caprice Greenberg, Cary Kaufman, Monica Morrow, Barbara Pockaj, Melvin Silverstein, Lawrence Solin, Alicia Staley, Frank Vicini, Lee Wilke, Wei Yang, Hiram Cody

ABSTRACT

BACKGROUND: Multiple recent reports have documented significant variability of reoperation rates after initial lumpectomy for breast cancer. To address this issue, a multidisciplinary consensus conference was convened during the American Society of Breast Surgeons 2015 annual meeting. METHODS: The conference mission statement was to "reduce the national reoperation rate in patients undergoing breast conserving surgery for cancer, without increasing mastectomy rates or adversely affecting cosmetic outcome, thereby improving value of care." The goal was to develop a toolbox of recommendations to reduce the variability of reoperation rates and improve cosmetic outcomes. Conference participants included providers from multiple disciplines involved with breast cancer care, as well as a patient representative. Updated systematic reviews of the literature and invited presentations were sent to participants in advance. After topic presentations, voting occurred for choice of tools, level of evidence, and strength of recommendation. RESULTS: The following tools were recommended with varied levels of evidence and strength of recommendation: compliance with the SSO-ASTRO Margin Guideline; needle biopsy for diagnosis before surgical excision of breast cancer; full-field digital diagnostic mammography with ultrasound as needed; use of oncoplastic techniques; image-guided lesion localization; specimen imaging for nonpalpable cancers; use of specialized techniques for intraoperative management, including excisional cavity shave biopsies and intraoperative pathology assessment; formal pre- and postoperative planning strategies; and patient-reported outcome measurement. CONCLUSIONS: A practical approach to performance improvement was used by the American Society of Breast Surgeons to create a toolbox of options to reduce lumpectomy reoperations and improve cosmetic outcomes. More... »

PAGES

3174-3183

References to SciGraph publications

  • 2007-04. Intraoperative Digital Specimen Mammography: Rapid, Accurate Results Expedite Surgery in ANNALS OF SURGICAL ONCOLOGY
  • 2011-02. Resection Margins in Ultrasound-Guided Breast-Conserving Surgery in ANNALS OF SURGICAL ONCOLOGY
  • 2011-06. Nonpalpable breast lesions: preoperative radiological guidance in radioguided occult lesion localisation (ROLL) in LA RADIOLOGIA MEDICA
  • 2007-10. Frozen Section Analysis for Intraoperative Margin Assessment During Breast-Conserving Surgery Results in Low Rates of Re-excision and Local Recurrence in ANNALS OF SURGICAL ONCOLOGY
  • 2002-12. Intraoperative ultrasound facilitates surgery for early breast cancer in ANNALS OF SURGICAL ONCOLOGY
  • 1997-12. Cytologic evaluation of lumpectomy margins in patients with ductal carcinoma in situ: Clinical outcome in ANNALS OF SURGICAL ONCOLOGY
  • 2007-03. Intra-operative Touch Preparation Cytology; Does It Have a Role in Re-excision Lumpectomy? in ANNALS OF SURGICAL ONCOLOGY
  • 2015-12. The impact of use of an intraoperative margin assessment device on re-excision rates in SPRINGERPLUS
  • 2011-11. A Multicentered, Randomized, Controlled Trial Comparing Radioguided Seed Localization to Standard Wire Localization for Nonpalpable, Invasive and in situ Breast Carcinomas in ANNALS OF SURGICAL ONCOLOGY
  • 2013-10. Should Re-excision Lumpectomy Rates Be a Quality Measure in Breast-Conserving Surgery? in ANNALS OF SURGICAL ONCOLOGY
  • 2014-10. Reasons for Re-Excision After Lumpectomy for Breast Cancer: Insight from the American Society of Breast Surgeons MasterySM Database in ANNALS OF SURGICAL ONCOLOGY
  • 2013-12. Radioactive Seed Localization Compared to Wire Localization in Breast-Conserving Surgery: Initial 6-Month Experience in ANNALS OF SURGICAL ONCOLOGY
  • 2012-08. Intraoperative ultrasound guidance for excision of non-palpable invasive breast cancer: a hospital-based series and an overview of the literature in BREAST CANCER RESEARCH AND TREATMENT
  • 2013-08. Guiding Breast-Conserving Surgery in Patients After Neoadjuvant Systemic Therapy for Breast Cancer: A Comparison of Radioactive Seed Localization with the ROLL Technique in ANNALS OF SURGICAL ONCOLOGY
  • 2012-10. Clinical Outcomes of Breast-Conserving Surgery in Patients Using a Modified Method for Cavity Margin Assessment in ANNALS OF SURGICAL ONCOLOGY
  • 2011-05. Impact of Routine Cavity Shave Margins on Breast Cancer Re-excision Rates in ANNALS OF SURGICAL ONCOLOGY
  • 2008-09. Simplified Technique of Radioguided Occult Lesion Localization (ROLL) Plus Sentinel Lymph Node Biopsy (SNOLL) in Breast Carcinoma in ANNALS OF SURGICAL ONCOLOGY
  • 2009-02. Breast Specimen Orientation in ANNALS OF SURGICAL ONCOLOGY
  • 2014-01. Impact of Margin Assessment Method on Positive Margin Rate and Total Volume Excised in ANNALS OF SURGICAL ONCOLOGY
  • 2014-05. A Randomized Prospective Study of Lumpectomy Margin Assessment with Use of MarginProbe in Patients with Nonpalpable Breast Malignancies in ANNALS OF SURGICAL ONCOLOGY
  • 2002-12. Ultrasound-guided lumpectomy of nonpalpable breast cancer versus wire-guided resection: A randomized clinical trial in ANNALS OF SURGICAL ONCOLOGY
  • 2013-07. Systematic review of radioguided versus wire-guided localization in the treatment of non-palpable breast cancers in BREAST CANCER RESEARCH AND TREATMENT
  • 2001-10. Randomized Prospective Evaluation of a Novel Technique for Biopsy or Lumpectomy of Nonpalpable Breast Lesions: Radioactive Seed Versus Wire Localization in ANNALS OF SURGICAL ONCOLOGY
  • 2013-07. Cost-Effectiveness of Radioguided Occult Lesion Localization (ROLL) Versus Wire-Guided Localization (WGL) in Breast Conserving Surgery for Nonpalpable Breast Cancer: Results from a Randomized Controlled Multicenter Trial in ANNALS OF SURGICAL ONCOLOGY
  • 2015-02. A National Snapshot of Satisfaction with Breast Cancer Procedures in ANNALS OF SURGICAL ONCOLOGY
  • 2007-04. Radiography of the surgical specimen in early stage breast lesions: diagnostic reliability in the analysis of the resection margins in LA RADIOLOGIA MEDICA
  • 2011-10. Ultrasound-Guided Lumpectomy for Palpable Breast Cancers in ANNALS OF SURGICAL ONCOLOGY
  • 2014-03. Society of Surgical Oncology–American Society for Radiation Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Stages I and II Invasive Breast Cancer in ANNALS OF SURGICAL ONCOLOGY
  • 2012-10. Intraoperative Imprint Cytology and Frozen Section Pathology for Margin Assessment in Breast Conservation Surgery: A Systematic Review in ANNALS OF SURGICAL ONCOLOGY
  • 2010-12. The effect of intraoperative specimen inking on lumpectomy re-excision rates in WORLD JOURNAL OF SURGICAL ONCOLOGY
  • 2012-03. Volume of Excision and Cosmesis with Routine Cavity Shave Margins Technique in ANNALS OF SURGICAL ONCOLOGY
  • 2013-08. Intra-operative ultrasound versus wire-guided localization in the surgical management of non-palpable breast cancers: systematic review and meta-analysis in BREAST CANCER RESEARCH AND TREATMENT
  • 2003-01. Radioactive Seed Localization Breast Biopsy and Lumpectomy: Can Specimen Radiographs Be Eliminated? in ANNALS OF SURGICAL ONCOLOGY
  • 2010-01. The Effects of Additional Tumor Cavity Sampling at the Time of Breast-Conserving Surgery on Final Margin Status, Volume of Resection, and Pathologist Workload in ANNALS OF SURGICAL ONCOLOGY
  • 2014-03. The Association of Surgical Margins and Local Recurrence in Women with Early-Stage Invasive Breast Cancer Treated with Breast-Conserving Therapy: A Meta-Analysis in ANNALS OF SURGICAL ONCOLOGY
  • 2015-10. Systematization of Oncoplastic Surgery: Selection of Surgical Techniques and Patient-Reported Outcome in a Cohort of 1,035 Patients in ANNALS OF SURGICAL ONCOLOGY
  • 2011-10. Cost-Effectiveness Analysis of Routine Frozen-Section Analysis of Breast Margins Compared with Reoperation for Positive Margins in ANNALS OF SURGICAL ONCOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1245/s10434-015-4759-x

    DOI

    http://dx.doi.org/10.1245/s10434-015-4759-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1019700093

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26215198


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