Can Radiography Be Used to Exclude Negative Margins in Breast Cancer Specimens?

Abstract

Achieving tumor-free margins is an important clinical goal in breast conservation surgery for the treatment of breast cancer. This prospective observational study was designed to answer: can radiography be used to exclude negative margins in breast cancer specimens? Ninety-seven cancers in 95 patients were included in this study. Pathology was used as the gold standard in specimen analysis, each containing 6 (superior, inferior, lateral, medial, anterior, posterior) margins. Of the 5B2 specimens, there were 8 true positive, 463 true negative, 91 false negative, and 20 false positive margins. The following performance parameters were calculated: sensitivity 8%, specificity 96%, accuracy 81%. Overall, specimen radiography cannot be reliably used to diagnose positive margins, nor can it be used to exclude negative margins.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2002
Accession Number
ADB286266

Entities

People

  • Jessica Leung

Organizations

  • Brigham and Women's Hospital

Tags

DTIC Thesaurus Topics

  • Abstracts
  • Accuracy
  • Biomedical Research
  • Breast Cancer
  • Carcinoma
  • Computer Programs
  • Diseases And Disorders
  • Drug Therapy
  • Excision
  • Governments
  • Health Services
  • Institutional Review Board
  • Medical Personnel
  • Physicians
  • Standards
  • Surgery
  • United States

Fields of Study

  • Medicine

Readers

  • Oncology and Biomarker-Based Cancer Detection.
  • Regression Analysis.