Clean margin in MD

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How to Clean margin in MD

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DCIS is a microscopic disease its not something that you can see or feel it doesnt look different from normal breast tissue so its very difficult from a surgeon standpoint to get it out all the time without help we use all the tools at our disposal mammography MRI ultrasound if appropriate to try to get clean margins we x-ray the specimen in the operating room to try to get clean margins to look to see where the calcifications stopped and where they start wheres the edge but margin probe also helps with clean margins for DCIS its not just indicated for invasive cancer margin probe is another way of doing additional sampling of the lumpectomy faces so that we can really make sure that we cover the whole specimen looking for DCIS we use it for DCIS we use it for invasive cancer and we dont differentiate between the two in terms of whos a candidate for margin probe margin probe helps us get clean margins with DCIS as well

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What does it mean if margins are clear?

(MAR-jin) The edge or border of the tissue removed in cancer surgery. The margin is described as negative or clean when the pathologist finds no cancer cells at the edge of the tissue, suggesting that all of the cancer has been removed.

Do you need radiation with clear margins?

Whether or not the margins contain cancer cells doesnt usually affect your treatment. However, in rare cases after a mastectomy, the deep margin (the margin closest to the chest wall) contains cancer cells. In these cases, more surgery and/or radiation therapy may be recommended.

What are acceptable margins for DCIS?

Specifically, a margin of less than 2mm for the DCIS component in a specimen also containing invasive cancer is acceptable.

What are the margins for MD Anderson DCIS?

Recent published guidelines suggest that adequate margins for DCIS should be 2 mm after breast conserving surgery followed by radiotherapy (RT). Many groups now use this guideline as an absolute indication for additional surgery.

What is the positive margin rate for lumpectomy?

Background. Previous studies suggest the rate of positive surgical margin (PSM) after lumpectomy for breast cancer is approximately 20 %. The risk of PSM at time of resection is often a source of fear for patients, driving some to elect to undergo mastectomy.

What is considered a clear margin in breast cancer?

A clear, negative, or clean margin means there are no cancer cells at the outer edge of tissue that was removed. A positive margin means that cancer cells come right out to the edge of the removed tissue and have ink on them.

What is considered a clear margin?

Clean lumpectomy margins mean that no cancer cells can be seen in the outer edge of the removed tissue. The pathology report may also say how wide the clear margin is along with the distance between the outer edge of the surrounding tissue removed and the edge of the cancer. No additional surgery is usually needed.

What do clear margins mean in cancer?

The edge or border of the tissue removed in cancer surgery. The margin is described as negative or clean when the pathologist finds no cancer cells at the edge of the tissue, suggesting that all of the cancer has been removed.

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