Clean margin in NEIS smoothly

Aug 6th, 2022
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How to Clean margin in NEIS

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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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Patients who have an invasive cancer with an intra-ductal component should be treated based on the invasive cancer recommendations. Specifically, a margin of less than 2mm for the DCIS component in a specimen also containing invasive cancer is acceptable.
Conclusions Involved or close pathological margins after breast conserving surgery for early stage, invasive breast cancer are associated with increased distant recurrence and local recurrence. Surgeons should aim to achieve a minimum clear margin of at least 1 mm.
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.
The ink that was painted onto the edge of the prostate can also be seen and this helps the pathologist know which part of the prostate the sample came from. This coloured ink marks the outside edges of the prostate gland and is known as the surgical margins.
Another important factor is whether there are cancer cells at the margins, or edges, of the biopsy sample. A positive or involved margin means there are cancer cells in the margin. This means that it is likely that cancerous cells are still in the body.
Mastectomy and tumor 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.
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.
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.

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