Menu Expand
Evaluation of the Surgical Margin, An Issue of Oral and Maxillofacial Clinics of North America, E-Book

Evaluation of the Surgical Margin, An Issue of Oral and Maxillofacial Clinics of North America, E-Book

Joshua Lubek | Kelly Magliocca

(2017)

Additional Information

Book Details

Abstract

This issue of Oral and Maxillofacial Surgery Clinics of North America focuses on Evaluation of the Surgical Margin, and is edited by Drs. Joshua E. Lubek and Kelly Magliocca. Articles will include: Understanding the Surgical Margin: A Pathologist’s Perspective; Understanding the Surgical Margin: A Molecular Assessment; Margin Analysis: Squamous Cell Carcinoma of the Oral Cavity; Margin Analysis: Squamous Cell Carcinoma of the Oropharynx; Bone Margin Analysis: Segmental Versus Marginal Resection in Malignant Disease; Bone Margin Analysis for Benign Odontogenic Tumors; Bone Margin Analysis for Osteonecrosis and Osteomyelitis of the Jaws; Margin Analysis: Malignant Salivary Gland Neoplasms of the Head and Neck; Margin Analysis: Benign Salivary Gland Neoplasms of the Head and Neck; Margin Analysis: Cutaneous Malignancy of the Head and Neck; Margin Analysis: Sarcoma of the Head and Neck; Has Reconstruction Improved Tumor Surgery Outcomes?; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Evaluation of the SurgicalMargin\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Introduction vii
Preface: Evaluation of the Surgical Margin: An Interdisciplinary Approach vii
Understanding the Surgical Margin: A Molecular Assessment vii
Margin Analysis: Squamous Cell Carcinoma of the Oral Cavity vii
Margin Analysis: Squamous Cell Carcinoma of the Oropharynx vii
Evaluation of the Bone Margin in Oral Squamous Cell Carcinoma vii
Bone Margin Analysis for Benign Odontogenic Tumors viii
Bone Margin Analysis for Osteonecrosis and Osteomyelitis of the Jaws viii
Margin Analysis: Malignant Salivary Gland Neoplasms of the Head and Neck viii
Margins for Benign Salivary Gland Neoplasms of the Head and Neck viii
Margin Analysis: Cutaneous Malignancy of the Head and Neck ix
Margin Analysis: Sarcoma of the Head and Neck ix
Surgical Margins: The Perspective of Pathology ix
Margin Analysis—Has Free Tissue Transfer Improved Oncologic Outcomes for Oral Squamous Cell Carcinoma? ix
ORAL AND MAXILLOFACIAL SURGERY\rCLINICS OF NORTH AMERICA\r x
FORTHCOMING ISSUES x
November 2017 x
February 2018 x
May 2018 x
RECENT ISSUES x
May 2017 x
February 2017 x
November 2016 x
Introduction xi
Preface\r xiii
Evaluation of the Surgical Margin: An Interdisciplinary Approach xiii
Understanding the Surgical Margin 245
Key points 245
SURGICAL RESECTION OF HEAD AND NECK CANCERS 245
INCORPORATING MOLECULAR SURGICAL MARGINS IN HEAD AND NECK CANCER 245
UNDERSTANDING HEAD AND NECK SQUAMOUS CELL CARCINOMA RECURRENCE 246
SURGICAL MARGIN MOLECULAR MARKERS 247
Genetic Events in the Head and Neck Squamous Cell Carcinoma Model of Progression as Molecular Surgical Markers 247
Methylation Patterns as a Molecular Surgical Margin Marker 249
Protein Expression as a Molecular Marker in Molecular Surgical Margin Analysis 250
FACTORS TO CONSIDER WHEN SELECTING MARGINS FOR ANALYSIS 252
LIMITATIONS OF MOLECULAR SURGICAL MARGINS 253
EMERGING RESEARCH AND FUTURE DIRECTIONS 254
REFERENCES 255
Margin Analysis 259
Key points 259
SURGICAL MARGIN SHRINKAGE 261
INTRAOPERATIVE FROZEN SECTIONS 261
FROZEN SECTIONS: DEFECT-DRIVEN VERSUS SPECIMEN-DRIVEN 263
THE USE OF BIOMARKERS IN EVALUATING THE SURGICAL MARGIN 263
MARGIN STATUS AND ADJUVANT THERAPY 264
REFERENCES 265
Margin Analysis 269
Key points 269
INTRODUCTION 269
SURGICAL TREATMENT OF OROPHARYNGEAL SQUAMOUS CELL CARCINOMA 270
Transoral Laser Microsurgery 270
Transoral Robotic Surgery 270
BIOLOGICAL DIFFERENCE OF HUMAN PAPILLOMA VIRUS–POSITIVE AND NEGATIVE OROPHARYNGEAL SQUAMOUS CELL CARCINOMA 271
OUTCOMES OF SURGICAL TREATMENT REGARDING MARGINS 273
FUTURE DIRECTIONS 276
Optical Fluorescence Imaging 276
Narrow Band Imaging 277
Intraoperative Ultrasound 277
Molecular Markers of Margins 277
SUMMARY 278
REFERENCES 278
Evaluation of the Bone Margin in Oral Squamous Cell Carcinoma 281
Key points 281
PATTERNS OF BONE INVASION AND SPREAD 281
PREDICTORS OF MAXILLARY AND MANDIBULAR BONE INVOLVEMENT 282
IMAGING TECHNIQUES 283
MARGINAL VERSUS SEGMENTAL RESECTION 285
Rim or Sagittal Resection 285
Does marginal resection affect outcome in the face of bone invasion identified on postoperative pathology? 286
CLINICAL AND HISTOPATHOLOGIC INTRAOPERATIVE EVALUATION OF THE BONE MARGIN 286
SUMMARY 290
REFERENCES 290
Bone Margin Analysis for Benign Odontogenic Tumors 293
Key points 293
INTRODUCTION 293
Ameloblastoma 294
Odontogenic Keratocyst and Keratocystic Odontogenic Tumor 296
Odontogenic Myxoma 297
Calcifying Epithelial Odontogenic Tumor or Pindborg Tumor 298
Adenomatoid Odontogenic Tumor 298
SUMMARY 299
REFERENCES 299
Bone Margin Analysis for Osteonecrosis and Osteomyelitis of the Jaws 301
Key points 301
INTRODUCTION 301
OSTEOMYELITIS 301
MEDICATION-RELATED OSTEONECROSIS 304
OSTEORADIONECROSIS 307
SUMMARY 310
REFERENCES 311
Margin Analysis 315
Key points 315
INTRODUCTION 315
SITE-SPECIFIC CONSIDERATIONS 316
LOW-GRADE SALIVARY MALIGNANCIES 316
POTENTIALLY AGGRESSIVE SALIVARY MALIGNANCIES 318
HIGH-GRADE MALIGNANCIES 320
CENTRAL (INTRAOSSEOUS) SALIVARY GLAND CARCINOMA 322
SUMMARY 322
REFERENCES 322
Margins for Benign Salivary Gland Neoplasms of the Head and Neck 325
Key points 325
INTRODUCTION 325
BENIGN PAROTID GLAND TUMORS 326
Superficial Parotidectomy 327
Partial Superficial Parotidectomy 330
Extracapsular Dissection 332
BENIGN SUBMANDIBULAR GLAND TUMORS 334
BENIGN MINOR SALIVARY GLAND TUMORS 335
OPERATING SURGEON AND SURGICAL PATHOLOGIST INTERACTIONS: INTRAOPERATIVE CONSULTATIONS AND FROZEN SECTIONS 336
SUMMARY 338
REFERENCES 339
Margin Analysis 341
Key points 341
INTRODUCTION 341
BASAL CELL CARCINOMA 341
Epidemiology 341
Pathogenesis 342
Preoperative and Risk Assessment 342
Management 342
Appropriate Surgical Margin 343
Response to a Positive Margin 343
SQUAMOUS CELL CARCINOMA 343
Epidemiology 343
Pathogenesis 344
Preoperative and Risk Assessment 344
Management 344
Appropriate Surgical Margin 344
Response to a Positive Margin 345
FROZEN SECTION ANALYSIS FOR BASAL CELL CARCINOMA AND SQUAMOUS CELL CARCINOMA 345
CUTANEOUS MALIGNANT MELANOMA 348
Epidemiology 348
Pathogenesis 348
Preoperative and Risk Assessment 348
Management 349
Appropriate Margin 349
FROZEN SECTIONS ANALYSIS FOR CUTANEOUS MALIGNANT MELANOMA 350
REFERENCES 351
Margin Analysis 355
Key points 355
INTRODUCTION 355
HISTOLOGIC TYPES AND CLASSIFICATION OF HEAD AND NECK SARCOMAS 355
PATHOGENESIS AND PREDISPOSING FACTORS IN HEAD AND NECK SARCOMAS 356
GENETIC PREDISPOSITION 356
Li-Fraumeni Syndrome 356
Retinoblastoma Gene 356
Neurofibromatosis Type-I (Mutations in NF1 Gene) 356
GENERAL PRINCIPLES IN DIAGNOSIS AND TREATMENT OF HEAD AND NECK SARCOMAS 356
Diagnosis 356
Surgical Treatment 356
Adjuvant Chemotherapy and Radiotherapy 357
Variables with Possible Prognostic Impact in Head and Neck Sarcoma 357
RESECTION MARGINS AFFECT RECURRENCE RATE AND TREATMENT MODALITIES IN SELECTED HEAD AND NECK SARCOMA 358
Osteosarcoma 358
Management of head and neck osteosarcoma 358
Chondrosarcoma 359
Rhabdomyosarcoma 360
Surgical Margins 367
Key points 367
OVERVIEW 367
THE HANDOFF ORIENTATION 367
DEFINITIONS OF MUCOSAL, SKIN, SOFT TISSUE, NERVE, AND BONE MARGINS 369
ARE ALL SURGICAL MARGINS EQUALLY IMPORTANT? 371
POSTREMOVAL SPECIMEN CHANGES 372
INDETERMINATE RESECTION MARGIN STATUS 373
SUMMARY 374
ACKNOWLEDGMENTS 374
REFERENCES 374
Margin Analysis—Has Free Tissue Transfer Improved Oncologic Outcomes for Oral Squamous Cell Carcinoma? 377
Key points 377
REFERENCES 380