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A diagnostic excisional biopsy was performed in patients with a doubtful pre-operative diagnosis, and SLN biopsy was performed as a second operation in those with a final histologic diagnosis of DCIS.
Revision was defined as a second operation with a re-osteotomy or an arthroplasty.
SLN mapping can be performed, as a second operation, in cases in which an invasive component is identified in the specimen.
We reserve this procedure, as a second operation, for cases in which an invasive component is identified at the histologic examination of the surgical specimen.
In case of discordance between a "negative" FS analysis and definitive histology, an ALND as a second operation is advocated since additional lymph node metastases may be present.
Despite the volume of the overall group, the cohort of interest (i.e., the selection of 151 patients with discordant FS results in whom ALND as a second operation was indicated) was still modest.
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After successful surgery, the tumor recurred five years later, and he underwent a second operation as well as chemotherapy and radiotherapy.
Failure was defined as a case requiring a second operation and 8 additional weeks of antibiotic therapy.
The use of bioabsorbable devices has resolved several problems of titanium fixation, such as the need for a second operation and interference with radiological evaluation.
The screws were removed and replaced by two smaller screws (12 mm) during a second operation performed as day surgery.
1 The TARGIT update shows these strata are not equivalent, with postpathology having higher local recurrence rates than prepathology (Table 2), despite postpathology patients presumably being lower risk as the treatment was delivered in a second operation after final pathology.
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