8 doctors weighed in:

Do surgical margins matter for benign breast conditions (after excisional biopsy surgery)? Would re-excision be necessary if no malignancy is found?

8 doctors weighed in
Dr. Chad Levitt
Radiation Oncology
3 doctors agree

In brief: Yes for some

Dcis needs to be completely removed and the wider the margin the better up to 1 cm. Positive margins should b reexcised.
Certain other benign breast lesions likely don't need complete removal always. Negative margin for dcis means 2mm or more.

In brief: Yes for some

Dcis needs to be completely removed and the wider the margin the better up to 1 cm. Positive margins should b reexcised.
Certain other benign breast lesions likely don't need complete removal always. Negative margin for dcis means 2mm or more.
Thank
Dr. Reza Shirazi
Radiation Oncology
4 doctors agree

In brief: Possibly yes

Carcinoma insitu, is a pre cancerous lesion, it has the potential of becoming cancer and is treated aggressively.
Getting a clear margin around it is a good idea and recommended as it is with malignant lesions. Carcinoma insitu is not benign but it has not grown into a full cancer. Just making sure this is not what you were referring to.

In brief: Possibly yes

Carcinoma insitu, is a pre cancerous lesion, it has the potential of becoming cancer and is treated aggressively.
Getting a clear margin around it is a good idea and recommended as it is with malignant lesions. Carcinoma insitu is not benign but it has not grown into a full cancer. Just making sure this is not what you were referring to.
Thank
2 comments
Dr. Christian Schultheis
But DCIS by definition is not a benign condition. Otherwise we would not be treating it.
Dr. Andrew Turrisi
DCIS has varieties. It causes No Mortality. It heralds invasive cancer. Oncotype unfolding a signature panel that may fulfil what the Van Nuys group and Dr. Silverstein reported, but could not be replicated by others: there is likely a type that needs no further treatment. An ER/PR receptor can and should be done to "guide" use of Tamoxifen/Anastrazole.
Dr. Christian Schultheis
Internal Medicine - Hematology & Oncology
1 doctor agrees

In brief: No

If benign, margins are irrelevant. Hope this helps.

In brief: No

If benign, margins are irrelevant. Hope this helps.
Thank
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