Episode 20090329

The Importance of Achieving "Margins" in Breast Cancer Surgery

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Episode Summary

The success of breast conservations depends on achieving clear margins – that no cancer remains at the periphery of the excised tumorectomy. The surgeon uses sutures and clips as markers and colored inks so that the pathologist can accurately orient the specimen. If the margins contain cancer cells a second operation (re-excision) is needed. Dr. Schnabel discusses a multicenter clinical trial of Margin Probe, a device used in the operating room which examines the edge of the specimen with radio frequency spectroscopy to determine immediately whether a re-excision so that it can be accomplished at the same time Peter Pressman, MD Interviewee: Freya Schnabel, MD Director of Breast Surgery Professor & Breast Surgeon NYU Cancer Institute at NYU Langone Medical Centermoreless

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