1 in 5 Breast Cancer Patients Need a Second Surgery
20% of women who undergo breast conserving surgery will be called back for a second surgery, due to positive margins1 which indicate chances are good that some cancer is still present in the breast.
In the US alone, this equates to 75,000 repeat surgeries per year, and roughly $2.5 billion in additional healthcare costs. Repeat surgeries are also associated with :
- A higher chance of cancer reoccurrence
- A higher rate of surgical infection
- Worse cosmetic outcomes
- Increased disruption and anxiety
Guide to understanding positive margins
What do you mean I have positive margins?
If you've ever been diagnosed with breast cancer you've most likely stumbled across that question before. For most patients, this is the first time that they've ever heard the words positive margins. Dr. Cary Kaufman from Bellingham Regional Breast Center has come across this scenario several times in his medical career.
During this video, Dr. Kaufman explains what positive margins are and how it impacts breast cancer surgery.
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REFERENCES
- Kaczmarski K, Wang P, Gilmore R, et al. Surgeon re-excision rates after breast-conserving surgery: a measure of low-value care. J Am Coll Surg 2019; 28(4): 504-512
- Natalia Partain, MD, et al. Differences in Re-excision Rates for Breast-Conserving Surgery Using Intraoperative 2D Versus 3D Tomosynthesis Specimen Radiograph. Ann Surg Oncol 2020: Published online Aug 01, 2020
- Ko Un Park, MD, et al. Digital Breast Tomosynthesis for Intraoperative Margin Assessment during Breast-Conserving Surgery. Ann Surg Oncol 2019:26:1720-28.
- André Hennigs, MD, et al. Do Patients After Reexcision Due to Involved or Close Margins Have the Same Risk of Local Recurrence as Those After One-Step Breast-Conserving Surgery? Ann Surg Oncol Jun. 23, 2016
- Metcalfe, L N. et al. Beyond the Margins: Economic Costs and Complications Associated With Repeated Breast-Conserving Surgeries. JAMA Surg. Aug. 2, 2017.
- Fuzesi S et al. Satisfaction with Breast-Conserving Therapy After Re-excision: A Study Using the Breast-Q, A Patient Reported Outcomes Measure in Breast Surgery. SSO 2018
- Hannah W. Kornfeld BA, et al. The temporal and financial benefit of intraoperative breast specimen imaging: A pilot study of the Kubtec MOZART. wileyonlinelibrary.com/journal/tbj Breast J. 2019;25:766–768