Call for changes to breast surgery as ‘women are at risk of recurrence’

Medical professionals have called for a review of breast cancer surgery guidelines to ensure women have the best chance of staying healthy.

Experts from the University of Manchester said removing a small amount of non-cancerous tissue adjacent to a tumor can reduce the risk of the cancer returning.

After analyzing data from 68 studies involving 112,140 cancer patients, they found that removing more than 1mm of noncancerous tissue from the edge of an excised tumor was associated with a lower risk of the cancer coming back.

Researchers said a previous study showed 21% of women in the UK had surgical margins less than 1mm.

“Surgeons should aim to achieve a clear minimum distance of at least 1mm,” the scientists wrote in The BMJ.

“Based on the current evidence, international guidelines should be revised.”

This has significant clinical implications for the surgical treatment of breast cancer, and current international guidelines need to be revised to reflect these findingsProfessor Nigel Bundred

“If you remove a tumor but cancer cells remain or are near the edges, the risk of the disease returning increases,” said lead author Professor Nigel Bundred, a clinical scientist at the University of Manchester.

“For this reason, an increased surgical focus on appropriate marginal excision would improve breast cancer survival worldwide.”

He added: “Our analysis leaves us confident that insufficient margin width is associated with a higher risk of distant recurrence (where the cancer has spread to another part of the body) and breast cancer mortality even after adjuvant chemotherapy, as well as an increased risk of recurrence.” is original operation site.

“This has major clinical implications for the surgical management of breast cancer, and current international guidelines need to be revised to reflect these findings.”7

Commenting on the study, Jane Murphy, Senior Clinical Nurse Specialist at the Breast Cancer Now charity, said: “With around 55,000 women and 370 men diagnosed with breast cancer each year in the UK, it is crucial that everyone receives the most effective and effective treatment possible suitable for reducing the risk of cancer coming back or spreading.

“This analysis adds to what we already know about the importance of ensuring that a small amount of healthy tissue around the tumor is removed during breast-conserving surgery and concludes that a minimum clear margin of at least 1mm should be achieved.

“This evidence can now be considered in current clinical practice and should be discussed as part of patient management.

“Anyone affected by breast cancer and seeking information and support can speak to our experienced nurses by calling our free confidential hotline on 0808 800 6000.”

https://www.belfasttelegraph.co.uk/news/uk/call-for-changes-to-breast-surgery-as-women-are-at-risk-of-recurrence-42008145.html Call for changes to breast surgery as ‘women are at risk of recurrence’

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