Evaluating and Comparing Two Surgical Methods for Treatment of Early Stage Breast Cancer



Status:Completed
Conditions:Breast Cancer, Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:September 2009
End Date:February 2015

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Measuring the Effect of Additional Tumor Cavity Margins Excision at the Time of Breast Conserving Surgery for Stage 0, I, II, and III Breast Cancer Patients on Re-excision Rate, Cosmetic Results and Total Costs

The goal of this study is to compare two different types of breast surgery. In the first
type, the doctor removes only the tumor. In the second type, the doctor removes the tumor
and some of the tissue around the tumor called margins. The amount of breast tissue removed
is similar. The removal of the tumor only has up to 40% chance of reoperation because the
tumor is too close to the margin. The primary goal of this study is to see if the additional
margins can decrease the need to return to the operating room. Both types of surgery are
well accepted, and participating in the study would not give you a better chance to cure the
cancer. At present, most breast surgeons remove the tumor without the additional margins.
For all patients who have this operation, there is a high incidence of return to the
operating room for margins re-excision: as many as 40% as patients can have a re-operation.

At present, we do not know if taking the additional margins prevents the cancer from
returning in the breast or not. If the cancer comes back in your breast, this is a
recurrence and your breast will have to be removed (mastectomy).


Inclusion Criteria:

- Female Patients with the diagnosis of Stage 0, I, II and III breast cancer
diagnosed/treated at the AVON Foundation Comprehensive Breast Center (AFCBC) of Grady
Memorial Hospital

- Age: no limit

Exclusion Criteria:

- Stage IV breast cancers
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