چکیده (انگلیسی):

With new breast conserving oncological surgical techniques, accurate identification of specimen margins
is important to allow for the re-excision of margins. The accurate identification of margins is crucial is the
success of the patients treatment if further margins are required. NHS Breast Screening Programme
(NHSBSP) guidelines recommend the excised specimen is labelled accurately to correctly identify the
margins and allow for X-ray examination.
This method has been proven to be cheap, it uses equipment and materials readily available in the
operating theatre. Furthermore, if any of the methods fails as there is more than one way to identifying
your margins. For example if a clip were to fall off, the type/length of suture and the orientation on the
board will still allow you to identify the correct margin. If the sample was to fall off the board, the sutures
and clips will still allow the pathologist to orientate the sample.
In summary this method is easy to apply, logical and uses equipment readily available within the
theatre, i.e. silk sutures, and the needle protection board. It ensures all relevant radiological and surgical
criteria are met for enabling orientation of the specimen when removed from the breast tissue. It is an
easily taught technique that is easy to remember. A national survey showed a lack and wide variation of
specimen orientation protocols. (Volleamere et al., 2013) This technique could be used as the national
standard for breast specimen marking and as a national marking system for the NHS.