Mastectomy Positive Superficial Margin

KATHL33N

I am trying to locate others who have had a mastectomy with positive superficial margins under the skin and what they decided on Radiation Therapy.  There don't seem to be many studies on this.  Within my DCIS 3.5 cm tumor, there was a focal area of 4mm of Invasive Ductal Carcinoma, but the margins were wide on that.  It's the DCIS that, even with closer excision by my surgeon during surgery, was within 2mm of the superfical margin.  My surgeon says he scraped my skin as close as he could get and compared it to taking wallpaper off a wall.  He says he got 99.9% of it, but referred me to the Radiation Oncologist for his opinion.  Has anyone had a similar case?

rockstar22

Hi, I had a somewhat similar situation. I had a BMX for IDC and ended up with deep positive margins. I went for 2 second opinions for radiation and it was unanamous that I should have rads. This totally sucked since I had already had reconstruction and now I am dealing with contractures. I found the best thing to do was go for second opinions and even third and fourth if necessary. Hope this helps, good luck