ArticleAnnals of surgical oncology2015
Toolbox to Reduce Lumpectomy Reoperations and Improve Cosmetic Outcome in Breast Cancer Patients: The American Society of Breast Surgeons Consensus Conference.
Article in Annals of surgical oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 141 citations in OpenAlex.
- Preoperative non-palpable breast lesion localization, innovative techniques and clinical outcomes in surgical practice: A systematic review and meta-analysis.Breast (Edinburgh, Scotland) · 2021Pooled it
- Intraoperative fluorescence imaging with aminolevulinic acid detects grossly occult breast cancer: a phase II randomized controlled trial.Breast cancer research : BCR · 2021Trial
- Clinical outcomes of an intraoperative surgical margin assessment using the fresh frozen section method in patients with invasive breast cancer undergoing breast-conserving surgery - a single center analysis.Scientific reports · 2019Trial
- Multidisciplinary Intraoperative Assessment of Breast Specimens Reduces Number of Positive Margins.Annals of surgical oncology · 2018Trial
- Margin Assessment in Breast-Conserving Surgery: A Comparative Analysis of Frozen Section and Cavity Shave Techniques.Annals of surgical oncology · 2026Article
- Article
- The SLIM technique: introducing a novel way for the orientation of cavity shaves during breast conserving surgery in breast cancer patients.Gland surgery · 2026Article
- Insurer and patient costs for repeat breast surgery after initial lumpectomy for breast cancer.Breast cancer research and treatment · 2025Article
- Racial and ethnic disparities in conversion to mastectomy following lumpectomy.Breast cancer research and treatment · 2025Article
- ASO Author Reflections: Can Adequate Surgical Margin Rates after Mastectomy Be Improved?Annals of surgical oncology · 2024Article
- Testing of rapid evaporative mass spectrometry for histological tissue classification and molecular diagnostics in a multi-site study.British journal of cancer · 2024Article
- Clinicopathological Predictors of Positive Resection Margins in Breast-Conserving Surgery.Annals of surgical oncology · 2024Observational
- MRI-based radiomic models to predict surgical margin status and infer tumor immune microenvironment in breast cancer patients with breast-conserving surgery: a multicenter validation study.European radiology · 2024Article
- Analysis of Specimen Mammography with Artificial Intelligence to Predict Margin Status.Annals of surgical oncology · 2023Article
- Evaluating Receptor-Specific Fresh Specimen Staining for Tumor Margin Detection in Clinical Breast Specimens.Molecular imaging and biology · 2023Article
- Breast-Conserving Surgery Margin Guidance Using Micro-Computed Tomography: Challenges When Imaging Radiodense Resection Specimens.Annals of surgical oncology · 2023Article
- 360 Health Analysis (H360)-A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal.Current oncology (Toronto, Ont.) · 2023Article
- Article
- Article
- Economic Impact of Reducing Reexcision Rates after Breast-Conserving Surgery in a Large, Integrated Health System.Annals of surgical oncology · 2022Article
Corrections and comments
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Authors and funding
21 authors at 16 institutions in 1 country.
Funding
Abstract
backgroundMultiple 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.
methodsThe 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.
resultsThe 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.
conclusionsA 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.
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