Letters Reoperation after breast conservation

Bigger margins are not better in breast conserving surgery

BMJ 2012; 345 doi: https://doi.org/10.1136/bmj.e5855 (Published 04 September 2012) Cite this as: BMJ 2012;345:e5855
  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 …

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