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Review: Breast-conserving treatment: Controversies and consensus

✍ Scribed by Noguchi, Masakuni; Kinne, David W.; Miyazaki, Itsuo

Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
786 KB
Volume
62
Category
Article
ISSN
0022-4790

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✦ Synopsis

Although breast-conserving therapy (BCT) is an accepted alternative for the treatment of breast cancer, numerous controversies surround the selection criteria and the treatment details. A review of the literature revealed that patient selection is of critical importance. However, there is disagreement over the relative importance of some of the criteria for patient selection. A wide excision is preferable to a less complete excision (tumorectomy) or a more radical excision (quadrantectomy). Accurate assessment of surgical margins is important. The risk of local recurrence may be diminished if a re-excision is performed to obtain tumor-free margins. However, the suitability and practicality of the techniques used to assess the resection margins have been questioned. Radiotherapy is an integral part of BCT. Surgery alone remains an investigational approach. Axillary dissection remains a reliable method of assessing nodal status and treating regional disease.

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