Table 1.
Classification | MSTS [6] | AJCC [7] | UICC [9] | Tumor Clearance [2] | TMCC [10] | Margin Quality [6] |
---|---|---|---|---|---|---|
Description | Radical: all normal tissue involved anatomic compartment excised en-bloc | R0: tumor does not reach intact barrier or resection margins | R0: resection margin >1 mm | Metric distance from edge of tumor to inked surgical resection margin | Negative margins: tumor does not reach intact barrier or resection margins | Anatomic factors (the tissue composition of the margin) |
- | Wide: histologically non-reactive normal tissue at margin | R1: Microscopic tumor contamination of margins or resection alongside pseudocapsule | R1: Resection margin < 1 mm | - | Unplanned positive margins | - |
- | Marginal: pseudocapsule present at margin | R2: Macroscopic tumor contamination | R2: Macroscopic tumor contamination | - | Planned close but with an ultimately positive microscopic margin along a critical structure | - |
- | Intralesional: Tumor present at margin | - | - | - | Positive margin after a tumor bed re-excision in patients treated initially with inadequate surgery elsewhere (“whoops procedure”) | - |
AJCC: American Joint Committee on Cancer (R classification); MSTS: Muscoloskeletal Tumor Society; UICC: Union Against cancer; TMCC: Toronto Margin Context Classification.