A 64-year-old female asked:
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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
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
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Dr. Steve Martinez
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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