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Lumpectomy with Sentinel Node Biopsy
Questions about Lumpectomy with Sentinel Node Biopsy.
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AskedPublicly Submitted Question
8/13/2017Just saw a article said if surgeons didn't get clear margins, it means they cut through an area of cancer cells, releasing them into the blood and lymph systems, is there possibility? What is better time to have second surgery when the first one didn't get DCIS clear margins. The surgeon said there were 60% cancer not clean even with general negative margins.

Did first surgery make DCIS cells become invasive faster if leave positive margins there without more surgery? What would doctors do for cancer patient in following up visit after cancer tumor removed?
RepliedJHU's Breast Center Reply
8/17/2017DCIS cannot be converted into invasive cells by not getting clear margins around it. usually the patient returns to the operating room in a week or two to clear the margins. there are some types of cancer that can cause spreading when cut through however breast cancer doesn't function exactly in this way. And you are dealing with DCIS which is noninvasive cells. once the margins are clear then anticipate a consultation with a radiation oncologist. if the dcis is ER positive also anticipate meeting with a medical oncologist.

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