The need to diminish mastectomy rates in patients with breast cancer eligible for breast conservation
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I would like to bring attention to a topic of increasing interest in modern breast practice. Recent reports have shown that rates of mastectomy are on the rise in western countries . This phenomenon would be seen as a contradiction for several reasons. In fact, the diagnosis of small and non-palpable tumours has become increasingly frequent by virtue of mammographic screening and breast cancer awareness among women. As a consequence, breast-conserving surgery can be considered as the treatment of choice in most cases. Moreover, the new techniques of oncoplastic surgery permit to perform breast-conserving treatment in some patients otherwise candidates to mastectomy . However, there is now a shift from breast conservation toward a more aggressive approach, such as mastectomy, in a moment in which surgical treatment of solid tumours is becoming less invasive and targeted according to patients and tumours characteristics.
Rising mastectomy rates have been especially...
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Conflict of interest
The author declares that he has no conflict of interest.
Research involving human participants and/or animals
All procedures performed in the studies mentioned in the manuscript involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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