It is based on three surgical principles: ideal breast cancer surgery with free tumor margins, immediate breast reconstruction, and immediate symmetry with the other breast.

If cancer cells were seen by pathologists, surgeons would take more tissue until tumor margins were free of cancer.

Surgical excision followed by postoperative radiation therapy or brachytherapy if tumor margins were positive and further resection is not possible.

Further analyses revealed that differences in recurrence patterns persisted for most subgroups with the exception of those that had either negative tumor margins or one to three positive lymph nodes.

The limitation of routine histopathologic examination of the tumor margins and the dissected lymph node specimen is well known [ 4 ] .

Because of indistinct clinical tumor margins, the morpheaform type is difficult to treat adequately with traditional treatments.

It is reasonable to recommend adjunctive radiation therapy, which is administered preoperatively, in an effort to shrink tumor margins.

In an effort to shrink tumor margins, the use of preoperative adjunctive radiation therapy must be considered.

Assigning a local tumor Surgico-pathologic Group (status postsurgical resection/biopsy, with pathologic assessment of the tumor margin).

Because of the invasive nature of the growth, excision of normal tissue near the tumor margin is often required.