The appropriate negative margin width for women undergoing breast‐conserving surgery for
both ductal carcinoma in situ (DCIS) and invasive carcinoma is controversial. This review …

Background Breast surgeons have a wide variety of intraoperative techniques available to
help achieve low rates for positive margins of excision, with variable levels of evidence …

Context Health care reform calls for increasing physician accountability and transparency of
outcomes. Partial mastectomy is the most commonly performed procedure for invasive …

Importance Although complete excision of breast cancer is accepted as the best means to
reduce local recurrence and thereby improve survival, there is currently no standard margin …

Background The presence of tumor cells at the margins of breast lumpectomy specimens is
associated with an increased risk of ipsilateral tumor recurrence. Twenty to 30% of patients …

Importance Surgery after initial lumpectomy to obtain more widely clear margins is common
and may lead to mastectomy. Objective To describe surgeons' approach to surgical margins …

Ultrasound (US) is used widely in the context of breast cancer. While it is advantageous for a
number of reasons, it has low specificity and requires the use of a contrast agent. Its use as a …

Background There is marked variability of re-excision rates after initial lumpectomy for breast
cancer. Reasons for re-excision and variability across surgeons have not been well …

While ductal carcinoma in situ (DCIS) is seldom life threatening, the management of DCIS
remains a dilemma for patients and their physicians. Aggressive treatment reduces the risk …

Rapid histopathological evaluation of fresh, unfixed human tissue using optical sectioning
microscopy would have applications to intraoperative surgical margin assessment …