Review: Breast‐conserving treatment: Controversies and consensus
Identifieur interne : 005955 ( Istex/Corpus ); précédent : 005954; suivant : 005956Review: Breast‐conserving treatment: Controversies and consensus
Auteurs : Masakuni Noguchi ; David W. Kinne ; Itsuo MiyazakiSource :
- Journal of Surgical Oncology [ 0022-4790 ] ; 1996-07.
Abstract
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. © 1996 Wiley‐Liss, Inc.
Url:
DOI: 10.1002/(SICI)1096-9098(199607)62:3<228::AID-JSO16>3.0.CO;2-2
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<front><div type="abstract" xml:lang="en">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. © 1996 Wiley‐Liss, Inc.</div>
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<p>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. © 1996 Wiley‐Liss, Inc.</p>
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<name type="personal"><namePart type="given">Masakuni</namePart>
<namePart type="family">Noguchi</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Operation Center and Department of Surgery, Kanazawa University Hospital, School of Medicine, Kanazawa University, Kanazawa, Japan</affiliation>
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<name type="personal"><namePart type="given">David W.</namePart>
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<affiliation>Department of Surgery, College of Physicians and Surgeons of Columbia University, New York, New York</affiliation>
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<name type="personal"><namePart type="given">Itsuo</namePart>
<namePart type="family">Miyazaki</namePart>
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<affiliation>Operation Center and Department of Surgery, Kanazawa University Hospital, School of Medicine, Kanazawa University, Kanazawa, Japan</affiliation>
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<abstract lang="en">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. © 1996 Wiley‐Liss, Inc.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>axillary dissection</topic>
<topic>breast‐conserving therapy</topic>
<topic>patient selection</topic>
<topic>radiation</topic>
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<titleInfo type="abbreviated"><title>J. Surg. Oncol.</title>
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<identifier type="ISSN">0022-4790</identifier>
<identifier type="eISSN">1096-9098</identifier>
<identifier type="DOI">10.1002/(ISSN)1096-9098</identifier>
<identifier type="PublisherID">JSO</identifier>
<part><date>1996</date>
<detail type="volume"><caption>vol.</caption>
<number>62</number>
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<number>3</number>
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<extent unit="pages"><start>228</start>
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