The routine practice to obtain wider negative margin widths than no ink on tumor is not indicated. With funding from the Susan G. Komen, a multidisciplinary panel of experts assembled in July 2013 to examine the evidence on the relationship between the amount of tissue removed surrounding a breast cancer, called a surgical margin, and ITBR. Take a break from your clinic work to connect with a worldwide group of surgical cancer leaders. Society of Surgical Oncology–American Society for Radiation Oncology–American Society of Clinical Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Ductal Carcinoma in Situ. Correspondence. The Veterinary Society of Surgical Oncology (VSSO) was developed to bring together individuals with various backgrounds but similar goals: to more effectively treat veterinary patients with cancer and to advance the understanding of cancer across species. Guidelines. Society of Surgical Oncology-American Society for Radiation Oncology-American Society of Clinical Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Ductal Carcinoma in Situ Pract Radiat Oncol. Negative margins (no ink on tumor) minimize the risk of IBTR. Monica Morrow, MD . There is no evidence of an association between increased risk of IBTR and EIC when margins are negative. In addition to SSO participation in the Expert Panel, the Guideline was reviewed by members of SSO’s Breast Disease Site Work Group, the Chair of the SSO Quality Committee and approved by the SSO Executive Council. Young age (≤40 years) is associated with both increased IBTR after BCT as well as increased local relapse on the chest wall after mastectomy, and is also more frequently associated with adverse biologic and pathologic features. To date, approximately one in three women who are treated surgically for DCIS undergo a re-excision, due in part to the lack of consensus on what constitutes an adequate negative margin. The multidisciplinary, expert panel addressed 10 clinical practice questions in the guideline. About ESSO . The Brazilian Society of Surgical Oncology (BSSO) is a non-profit organization created in 1998. Society of Surgical Oncology Annual Cancer Symposium 2020 – du fährst hin? The Society of Surgical Oncology (SSO) is a dynamic global community of cancer surgeons shaping advancements in the profession to deliver the highest quality surgical care for cancer patients. Ann Surg Oncol. There are several resources available that provide information on the latest cancer treatment guidelines. Wider negative margins than no ink on tumor are not indicated for invasive lobular carcinoma. While the guideline appropriately allows for some flexibility and clinical judgment in interpretation, the conclusion that a two millimeter margin width is adequate in patients with DCIS will be helpful and reassuring to clinicians and patients in clinical decision-making.”, “This guideline is another important step in our collective work to ensure that women are receiving the best and most appropriate breast cancer care,” said Susan G. Komen President and CEO Judy Salerno, MD, MS. “We were pleased to support the panel, both through funding and by lending the patient perspective to these discussions, and hope it empowers both patients and physicians to make well-informed treatment decisions that will reduce the likelihood for re-excisions.”. Telephone: +61 3 9276 7446 Fax: +61 3 9276 7432 Email: surgical.oncology@surgeons.org METHODS The American Society of Clinical Oncology, American Society for Radiation Oncology, and Society of Surgical Oncology convened an Expert Panel to develop recommendations based on a systematic review of the literature and a formal … The The Society of Surgical Oncology (SSO) Cancer Symposium 2021 exhibition presents medical device, technology, equipment, pharmaceuticals and other products and services for the surgical oncologist. The editorial comments on various aspects of the Guideline including surgical management, radiation therapy and systemic therapy. 2010-2020. Based on their recommendation, the SSO, ASTRO, and ASCO have affirmed that an update to the guideline is not required. The DSWGs are comprised of experts in the following disease sites: gastrointestinal, melanoma/sarcoma, breast, hepatobiliary, endocrine/head & neck, colorectal and peritoneal surface malignancy. 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