Reoperation after breast conservation

Bigger margins are not better in breast conserving surgery

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e5855 (Published 4 September 2012)
Cite this as: BMJ 2012;345:e5855

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

  1. J Michael Dixon, professor of breast surgery and consultant surgeon1,
  2. Nehmat Houssami, associate professor, screening and test evaluation programme2
  1. 1Western General Hospital, Edinburgh, UK
  2. 2Sydney Medical School, University of Sydney, Australia
  1. mike.dixon{at}ed.ac.uk

Jeevan and colleagues report that one in five women who have breast conserving surgery requires reoperation because of incomplete excision or inadequate clearance of margins.1 The first major review of surgical margins established that disease at the margins increased recurrence rates but concluded that wide margins compared with narrow margins did not reduce local …

Get access to this article and all of bmj.com for the next 14 days

Sign up for a 14 day free trial today

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

Article access

Article access for 1 day

Purchase this article for £20 $30 €32*

The PDF version can be downloaded as your personal record

* Prices do not include VAT

THIS WEEK'S POLL