KMID : 1134120170200040400
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Journal of Breast Cancer 2017 Volume.20 No. 4 p.400 ~ p.403
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The Practice Patterns and Perceptions of Korean Surgeons Regarding Margin Status after Breast-Conserving Surgery
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Yoo Tae-Kyung
Kim Sung-Won Kang Eun-Young Ahn Sung-Gwe Hwang Ki-Tae Kim Seung-Ki Woo Sang-Uk Shin Hyuk-Jai Song Young-Jin Jung Eun-Jung Chang Myung-Chul Lee Il-Kyun Park Woo-Chan
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Abstract
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Two consecutive surveys for breast surgeons in Korea were conducted to comprehend the practice patterns and perceptions on margin status after breast-conserving surgery. The surveys were conducted online in 2014 (initial) and 2016 (follow-up). A total of 126 and 88 responses were obtained in the initial and follow-up survey, respectively. More than 80% of the respondents replied to routinely apply frozen section biopsy for intraoperative margin assessment in both surveys. Re-excision recommendations of the margin for invasive cancer significantly changed from a close margin to a positive margin over time (p=0.033). Most of the respondents (73.8%) defined a negative margin as ¡°no ink on tumor¡± in invasive cancer, whereas more diverse responses were observed in ductal carcinoma in situ cases. The influence of guideline establishment for negative margins has been identified. A high uptake rate of intraoperative frozen section biopsy was noted and routine use needs reconsideration.
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KEYWORD
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Frozen sections, Margins of excision, Segmental mastectomy, Surveys and questionnaires
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