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Conservative Surgery and Radiation Therapy for Early Breast Cancer

  • I. A. Olivotto
  • V. E. Basco
  • S. M. Jackson

Abstract

The goal of conservative surgery and radiation therapy (CS + RT) in the management of operable breast cancer is to achieve survival and local control equivalent to that following total mastectomy while preserving the breast and body image, with a highly satisfactory cosmetic appearance and with minimum complications. There is now good evidence from retrospective [2, 6, 9, 11, 13, 17, 44, 48, 51, 59] and modern prospective randomized trials [5, 21, 55, 62] that survival, at least for 5–8 years following CS + RT, is similar to that following mastectomy. Since breast cancer has a long natural history, further follow-up is necessary to determine whether this survival equivalence will persist. However, data indicating comparable outcome to mastectomy, as well as changes in the understanding of the biology of breast cancer and mounting public pressure, have led to the widespread acceptance of a breast-preserving approach in the management of early breast cancer.

Keywords

Breast Cancer Local Recurrence Early Breast Cancer Radical Mastectomy Breast Recurrence 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin · Heidelberg 1991

Authors and Affiliations

  • I. A. Olivotto
    • 1
  • V. E. Basco
    • 1
  • S. M. Jackson
    • 1
  1. 1.Division of Radiation OncologyBritish Columbia Cancer Agency and University of B.C.VancouverCanada

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