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How would you manage a positive deep margin in the setting of mastectomy and expander placement?

Would you boost the area of positive margin? Would you include the expander?
1 Answer
Mednet Member
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Radiation Oncology · Allegheny Health Network, Pittsburgh
Answered on

With these cases, I first discuss with the patient's surgeon if there is any role for re-excision.

If not, then I look at whether it is prepectoral or subpectroal. With a subpectoral implant/expander, the at risk margin is in front of the implant/expander; while with a prepectoral implant/expander, ...

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