Factors Influencing Re-excision Rates in Breast Surgery
- Clements University Hospital
Jessica Porembka, M.D.
Tumor registry and epic surgery scheduling data will identify all patients undergoing breast surgery between august 2005-January 2015. Retrospective review will then evaluate the need for additional operations beyond the initial surgery. Patient demographics, radiologic assessments, tumor characteristics, and surgical interventions will then be evaluated to determine their relationship with the need for re-excision. Patients will be separated into 2 groups depending on whether re-excision was performed. We hypothesize that rates of re-excision will be lower in patients undergoing surgery with seed localization and with cavity shave margins. The impact of this re-excision on final oncologic outcome will also be reviewed.
Any patient undergoing breast surgery between August 2005 and January 2015 at Parkland Memorial Hospital (PMH) or a UT Southwestern hospital may be included in the database. There are no exclusions based on age, gender, race, ethnic background, life expectancy, nutritional status, or performance status.