No article notes available at this time.
• Nearly half of unplanned excisions left behind gross residual tumor with no reliable clinical predictors, which argues against assuming a prior excision was adequate based on surgeon impression alone. • Supports building planned reoperation into the treatment sequence whenever the index surgery was performed without a histologic diagnosis or without intent for wide margins, rather than proceeding directly to radiation or observation. • When reoperation isn't feasible, the findings support escalating radiotherapy dose to account for the likelihood of residual gross disease in the prior operative field.
No article notes available at this time.
• Nearly half of unplanned excisions left behind gross residual tumor with no reliable clinical predictors, which argues against assuming a prior excision was adequate based on surgeon impression alone. • Supports building planned reoperation into the treatment sequence whenever the index surgery was performed without a histologic diagnosis or without intent for wide margins, rather than proceeding directly to radiation or observation. • When reoperation isn't feasible, the findings support escalating radiotherapy dose to account for the likelihood of residual gross disease in the prior operative field.