No article notes available at this time.
• Gives residents a framework for counseling patients and planning surgery: a positive margin is not a single entity—its prognostic weight depends on whether it was planned (to spare a nerve, vessel, or bone) or unexpected. • Supports the practice of deliberately sparing critical structures when necessary, since this study found it did not significantly worsen LRFS or CSS compared to resecting those structures for a negative margin. • Highlights that an unexpected positive margin after primary surgery is the scenario associated with the worst oncologic outcomes, reinforcing the importance of adequate preoperative planning and imaging to avoid this scenario.
No article notes available at this time.
• Gives residents a framework for counseling patients and planning surgery: a positive margin is not a single entity—its prognostic weight depends on whether it was planned (to spare a nerve, vessel, or bone) or unexpected. • Supports the practice of deliberately sparing critical structures when necessary, since this study found it did not significantly worsen LRFS or CSS compared to resecting those structures for a negative margin. • Highlights that an unexpected positive margin after primary surgery is the scenario associated with the worst oncologic outcomes, reinforcing the importance of adequate preoperative planning and imaging to avoid this scenario.