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Definition of “Close Margin” in Oral Cancer Surgery and Association of Margin Distance With Local Recurrence Rate

Definition of “Close Margin” in Oral Cancer Surgery and Association of Margin Distance With Local... Key PointsQuestionIn oral cavity squamous cell carcinoma (OCSCC), is there an association between specific margin distances and local recurrence, and what should be considered a “close” margin? FindingsIn this retrospective cohort study of 432 patients with OCSCC, there was no appreciable difference between local recurrence rates for different margin distances of 1 mm or greater. Regardless of the specific margin distance, resection of additional tissue after a positive frozen section margin did not significantly alter local recurrence rate. MeaningA cutoff of less than 1 mm between cut tissue edge and invasive tumor would be appropriate to consider as a close margin at risk for recurrence. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

Definition of “Close Margin” in Oral Cancer Surgery and Association of Margin Distance With Local Recurrence Rate

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References (21)

Publisher
American Medical Association
Copyright
Copyright 2017 American Medical Association. All Rights Reserved.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2017.0548
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionIn oral cavity squamous cell carcinoma (OCSCC), is there an association between specific margin distances and local recurrence, and what should be considered a “close” margin? FindingsIn this retrospective cohort study of 432 patients with OCSCC, there was no appreciable difference between local recurrence rates for different margin distances of 1 mm or greater. Regardless of the specific margin distance, resection of additional tissue after a positive frozen section margin did not significantly alter local recurrence rate. MeaningA cutoff of less than 1 mm between cut tissue edge and invasive tumor would be appropriate to consider as a close margin at risk for recurrence.

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Dec 26, 2017

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