AI Article Synopsis
- In 2015, the American Society of Breast Surgeons held the CALLER conference to create a "toolbox" aimed at reducing reoperations after lumpectomies.
- This update reviews literature from 2015-2018 to enhance the original ten tools, incorporating new evidence and recommendations.
- The revised toolbox includes additional techniques for more accurate intraoperative margin assessments, supporting surgeons in improving cancer removal outcomes while considering aesthetic results.
Article Abstract
In 2015, the American Society of Breast Surgeons (ASBrS) convened a multidisciplinary consensus conference, the Collaborative Attempt to Lower Lumpectomy Reoperation Rates (CALLER). The CALLER conference endorsed a "toolbox" of multiple processes of care for which there was evidence that they were associated with fewer reoperations. We present an update of the toolbox taking into consideration the latest advances in decreasing re excision rates. In this review, we performed a comprehensive review of the literature from 2015-2018 using search terms for each tool. The original ten tools were updated with the latest evidence from the literature and our strength of recommendation. We added an additional section looking at new tools and techniques that may provide more accurate intraoperative assessment of margins. The updates on the CALLER Toolbox for lumpectomy will help guide surgeons to various resources to aid in the removal of breast cancer, while being aware of cosmesis and decreasing re excision rates.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323258 | PMC |
| http://dx.doi.org/10.21037/gs.2018.11.03 | DOI Listing |
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