Having low margin positivity can be associated with excellent breast outcomes.
Association of Breast Surgery ePoster Library. Johnston A. 05/15/17; 166223; P158
Alison Johnston
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Abstract
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Introduction:
Reducing positive margins and need for re-excision yet maintaining cosmesis is key in breast cancer surgery. This study assessed if low margin positivity resulted in adverse cosmesis, pain and functional outcomes in patients undergoing wide local excision (WLE).
Methods:
A prospective ethically approved written consent study of consecutive patients undergoing WLE between July 2015 and September 2016 was undertaken at Letterkenny University Hospital.
BCCT.core programme objectively analysed pre and post-op photographic imaging. The Breast Cancer Treatment and Outcome Scale scored subjective outcomes in cosmesis, functionality and pain. Demographic and pathological data, breast excision weight, % breast volume excised (BVE), margin positivity, complications and re-excision were documented.
Results:
41 consecutive patients, mean ages 55± 13 were studied, mean tumour size 19.7mm ± 12.8 (2.4 - 60), mean BVE weighed 78.6 ± 42.6 (18.9 - 214.4). The mean % of BVE was 11.3% ± 5.2 (5.1-23.3). Re-excision rate was 2/41 (4.9%) for positive margins. No wound infections or haematomas were seen. Computed photographic analysis found 35/41 (85.3%) unchanged, 4 (9.8%) deteriorated and 2 (4.9%) improved. Subjectively moderate breast shape change was reported in 6/41 (14.6%). Of the 22 questions relating to cosmesis, pain and functionality only 8/41 (19.5%) reported any concerns.
Conclusions:
This prospective, early outcomes study identified that low margin positivity rates do not come at an objective or subjective cost to the patient. Larger studies may validate as an international benchmark.
Reducing positive margins and need for re-excision yet maintaining cosmesis is key in breast cancer surgery. This study assessed if low margin positivity resulted in adverse cosmesis, pain and functional outcomes in patients undergoing wide local excision (WLE).
Methods:
A prospective ethically approved written consent study of consecutive patients undergoing WLE between July 2015 and September 2016 was undertaken at Letterkenny University Hospital.
BCCT.core programme objectively analysed pre and post-op photographic imaging. The Breast Cancer Treatment and Outcome Scale scored subjective outcomes in cosmesis, functionality and pain. Demographic and pathological data, breast excision weight, % breast volume excised (BVE), margin positivity, complications and re-excision were documented.
Results:
41 consecutive patients, mean ages 55± 13 were studied, mean tumour size 19.7mm ± 12.8 (2.4 - 60), mean BVE weighed 78.6 ± 42.6 (18.9 - 214.4). The mean % of BVE was 11.3% ± 5.2 (5.1-23.3). Re-excision rate was 2/41 (4.9%) for positive margins. No wound infections or haematomas were seen. Computed photographic analysis found 35/41 (85.3%) unchanged, 4 (9.8%) deteriorated and 2 (4.9%) improved. Subjectively moderate breast shape change was reported in 6/41 (14.6%). Of the 22 questions relating to cosmesis, pain and functionality only 8/41 (19.5%) reported any concerns.
Conclusions:
This prospective, early outcomes study identified that low margin positivity rates do not come at an objective or subjective cost to the patient. Larger studies may validate as an international benchmark.
Introduction:
Reducing positive margins and need for re-excision yet maintaining cosmesis is key in breast cancer surgery. This study assessed if low margin positivity resulted in adverse cosmesis, pain and functional outcomes in patients undergoing wide local excision (WLE).
Methods:
A prospective ethically approved written consent study of consecutive patients undergoing WLE between July 2015 and September 2016 was undertaken at Letterkenny University Hospital.
BCCT.core programme objectively analysed pre and post-op photographic imaging. The Breast Cancer Treatment and Outcome Scale scored subjective outcomes in cosmesis, functionality and pain. Demographic and pathological data, breast excision weight, % breast volume excised (BVE), margin positivity, complications and re-excision were documented.
Results:
41 consecutive patients, mean ages 55± 13 were studied, mean tumour size 19.7mm ± 12.8 (2.4 - 60), mean BVE weighed 78.6 ± 42.6 (18.9 - 214.4). The mean % of BVE was 11.3% ± 5.2 (5.1-23.3). Re-excision rate was 2/41 (4.9%) for positive margins. No wound infections or haematomas were seen. Computed photographic analysis found 35/41 (85.3%) unchanged, 4 (9.8%) deteriorated and 2 (4.9%) improved. Subjectively moderate breast shape change was reported in 6/41 (14.6%). Of the 22 questions relating to cosmesis, pain and functionality only 8/41 (19.5%) reported any concerns.
Conclusions:
This prospective, early outcomes study identified that low margin positivity rates do not come at an objective or subjective cost to the patient. Larger studies may validate as an international benchmark.
Reducing positive margins and need for re-excision yet maintaining cosmesis is key in breast cancer surgery. This study assessed if low margin positivity resulted in adverse cosmesis, pain and functional outcomes in patients undergoing wide local excision (WLE).
Methods:
A prospective ethically approved written consent study of consecutive patients undergoing WLE between July 2015 and September 2016 was undertaken at Letterkenny University Hospital.
BCCT.core programme objectively analysed pre and post-op photographic imaging. The Breast Cancer Treatment and Outcome Scale scored subjective outcomes in cosmesis, functionality and pain. Demographic and pathological data, breast excision weight, % breast volume excised (BVE), margin positivity, complications and re-excision were documented.
Results:
41 consecutive patients, mean ages 55± 13 were studied, mean tumour size 19.7mm ± 12.8 (2.4 - 60), mean BVE weighed 78.6 ± 42.6 (18.9 - 214.4). The mean % of BVE was 11.3% ± 5.2 (5.1-23.3). Re-excision rate was 2/41 (4.9%) for positive margins. No wound infections or haematomas were seen. Computed photographic analysis found 35/41 (85.3%) unchanged, 4 (9.8%) deteriorated and 2 (4.9%) improved. Subjectively moderate breast shape change was reported in 6/41 (14.6%). Of the 22 questions relating to cosmesis, pain and functionality only 8/41 (19.5%) reported any concerns.
Conclusions:
This prospective, early outcomes study identified that low margin positivity rates do not come at an objective or subjective cost to the patient. Larger studies may validate as an international benchmark.
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