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Review: Breast‐conserving treatment: Controversies and consensus
Author(s) -
Noguchi Masakuni,
Kinne David W.,
Miyazaki Itsuo
Publication year - 1996
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/(sici)1096-9098(199607)62:3<228::aid-jso16>3.0.co;2-2
Subject(s) - medicine , quadrantectomy , axillary dissection , radiation therapy , breast cancer , surgery , selection (genetic algorithm) , dissection (medical) , margin (machine learning) , wide local excision , mastectomy , cancer , artificial intelligence , computer science , machine learning
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.