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. 2021 Apr 2;13(7):1687. doi: 10.3390/cancers13071687

Table 1.

Classifications of margins in soft tissue sarcomas.

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.