Ductal Carcinoma in situ has been diagnosed more frequently in the last few years and now accounts for approximately one-fourth of all treated breast cancers. Traditionally, this disease has been treated with total mastectomy, but conservative surgery has become increasingly used in the absence of unfavourable clinical conditions, if a negative excision margin can be achieved. It is controversi...

Conservative Mastectomies provide removal of the entire breast parenchyma, saving the outer covering of the mammary gland with the possibility of performing an immediate reconstruction preserving women body image. With the oxymoron “conservative mastectomies”, we indicate Skin-Sparing Mastectomies (SSM), Nipple-Areola Complex-Sparing Mastectomies (NSM) and Skin-Reducing Mastectomies (SRM). Even...

PURPOSE To evaluate the efficacy of conservative surgery plus chemo-, radio-therapy in treating patients with early stage breast cancer. PATIENTS AND METHODS Eligible patients were treated by postoperative chemotherapy as well as whole-breast irradiation with tumor bed boost. Postoperative radiotherapy consisted of 6 MV whole breast linear accelerator irradiation with two tangential half fiel...

Breast cancer has become the top malignant neoplasm in Chinese women with an increasing risk of morbidity and mortality. As a crucial part of comprehensive treatment of breast cancer, breast surgical technique is ceaselessly ameliorating and enriching its features. With the purpose of achieving minimal surgical intervention and satisfactory cosmetic results, the trend of mammary surgery is focu...

background conservative surgical treatment has been the treatment of choice for early breast cancer. it allows feasible oncological treatment with a satisfactory cosmetic approach and fast recovery. however, in some cases mastectomy is necessary. this study proposes a surgical approach with only one surgical access through the same incision, which is in line with precepts mentioned above. it is...

Locoregional recurrence after breast conservative surgery is not a rare event. However, a metastatic nodule solely at the surgical drain site seems to be extremely unusual. In this report, we present a patient who received a lumpectomy for breast cancer but a metastatic nodule developed at the drain site more than two years after her surgery.

Methods From 1995 to 1998, 435 patients over 45 year old with breast cancer up to 1.2 cm and clinically uninvolved axilla were randomized in two arms: 214 to conservative surgery without axillary dissection and 221 to conservative surgery without axillary dissection plus axillary radiotherapy. Our Breast Unit participated in the study with 25 patients. Results After a median follow up of 63 mon...

Conservative surgery has become a well-established alternative to mastectomy in the treatment of breast cancer. However, in case of larger lesions or small-size breasts, the removal of adequate volumes of breast tissue to achieve tumor-free margins and reduce the risk of local relapse may compromise the cosmetic outcome, causing unpleasant results. In order to address this issue, new surgical t...