[Oncoplastic variations in surgical treatment of pT2 breast carcinoma]

We retrospectively reviewed 156 cases with pT2-breast cancer (tumorsize 2-5 cm) who where treated between 1.1.1993 and 1.10.1997 our hospital. We evaluated in how many cases and with the usage of which techniques we where able to perform breast-conserving surgery. With this tumor size we almost exclusively used oncoplastic mammoplasties and flaptechniques which where shaped individually depending on the modality of tumorspread, the size of the breast and the personal wishes of the patient. With this method of altering the treatment according to the needs of the individual depending on the tumor size and tumor location and including adjuvant therapies as radiotherapy and chemotherapy, we where able to save the breast in 106 (67.9%) of all patients with pT2-tumors.

At our hospital we are able to offer many of the patients with pT2-breast cancer, who are usually still often treated with ablation of the mamma, breast-conserving procedures. We do this with the help of individualized patient-orientated and tumor-adaptive treatment plans and linked with the departments of radiotherapy and chemotherapy.