Sheldon Feldman, MD, FACS, chief of breast surgery and breast surgical oncology, Montefiore-Einstein Cancer Center, New York, director of breast cancer services and professor of surgery at Montefiore Medical Center, Albert Einstein College of Medicine, discusses one of the more debated topics in breast cancer surgery: setting the appropriate minimum tumor-free margins for breast conserving surgery.
At the 2018 Best of SABCS-NY Dr. Feldman shared findings from a study by Vicini, et al, originally presented in San Antonio in 2017. In discussing the topic, Dr. Feldman began, “People have asked the question, if we do bigger margins when we do lumpectomies, will the recurrence rate be lower.”
According to Dr. Feldman, with wider margins, comes more deformity to the breast. In addition, some patients may further need follow-up surgery.
An important consideration in determining margins would be the patient's treatment regimen, for instance, will they be on hormone therapy.