A 64-year-old female asked:
is mastectomy good for an invasive & in situ lobular carcinoma, stage 1b, sbr grade 2, 8 mm in size with good margins except anterior margin 1.5mm ?
2 doctor answers
Dr. Steven Hebert answered
28 years experience Pathology
Mastectomy: Mastectomy and lumpectomy are the 2 standard surgical procedures for breast cancer. Most evidence suggests they are equally effective in treating this disease.
Answered on Dec 8, 2013
Dr. Steve Martinez answered
27 years experience Breast Surgery
Concern: The 1.5mm margin anteriorly is the only margin that gives me concern. For patients undergoing lumpectomy, obtaining at least a 2mm margin is associated with a decreased risk of recurrence. It would not be usual practice to take you back to surgery for a re-excision of this margin, however.
Answered on Nov 28, 2013
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