How would you treat low grade primary breast Leiomyosarcoma following lumpectomy?
Less than 2cm in size and closest margin is 0.6mm. Would you consider re-excision or mastectomy? Would you offer radiotherapy?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
Limited data. I would favor a wider margin as the current margin is less than 1 mm and favor re-excision. After surgery, I have used the principle of organ/limb preservation prospective studies on soft tissue sarcoma and offered/considered adjuvant radiation.
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