538-539 / 1816
Voting 3.
•
A 36 year old female with a 2 cm
cancer (luminal B, grade 3)
undergoes breast conservation
resulting in the following margins:
•
Deep: <1mm, not at ink
•
Anterior: 2mm
•
Lateral: pleomorphic LCIS at ink over
3mm, invasive clear
•
Medial: classical LCIS at ink, invasive
clear
•
Superior: 4mm clear
•
Inferior: 10mm clear
•
Which margins would you excise?
1. Deep, anterior, lateral
2. Lateral only
3. Lateral and medial
4. All margins except inferior
5. Would suggest mastectomy
because of LCIS
6. No margins need re excising