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[When is a breast-preserving operation permitted?].

L Koslowski, W Heitland

    Langenbecks Archiv Fur Chirurgie
    |January 1, 1986
    PubMed
    Summary
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    Breast-conserving surgery for breast cancer is possible for early-stage tumors (pT1) when combined with complete axillary lymph node removal and mandatory radiotherapy. A competent pathologist is essential for accurate histological examination.

    Area of Science:

    • Oncology
    • Surgical Oncology
    • Radiation Oncology

    Context:

    • Breast-preserving operations offer a less invasive alternative to mastectomy for breast cancer.
    • Patient selection is crucial for optimizing outcomes in breast cancer surgery.

    Purpose:

    • To define the essential conditions and requirements for performing breast-preserving operations in breast cancer cases.
    • To outline the multidisciplinary approach necessary for successful breast conservation therapy.

    Summary:

    • Breast-preserving surgery is permissible for breast cancer when the tumor is within stage pT1.
    • Complete axillary lymph node dissection is mandatory.
    • Accurate histological examination by a qualified pathologist is required.
    • A meticulously planned radiotherapy regimen, delivering at least 60 Gy, is a mandatory component of treatment.

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    Impact:

    • Establishes clear criteria for selecting breast cancer patients eligible for breast-conserving surgery.
    • Emphasizes the importance of a multidisciplinary team, including surgeons, pathologists, and radiation oncologists.
    • Ensures standardized, high-quality care for breast cancer patients undergoing breast preservation.