[Abstract] [Full Text PDF] (in Japanese / 2690KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 103(11): 806-810, 2002


Feature topic

WIDE EXCISION AS A METHOD OF BREAST-CONSERVING SURGERY FOR BREAST CANCER

Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan

Hideo Inaji, Tetsu Yanagisawa, Yoshifumi Komoike, Kazuyoshi Motomura, Hiroki Koyama

Breast-conserving treatment has become the standard treatment for early breast cancer, not only in Western countries but also in Japan. Wide excision is perferred to quadrantectomy because the former results in better cosmesis than the latter. However, the margin status may be positive more frequently in the former than in the latter. The results of our study indicated that positive margins and the absence of radiotherapy or endocrine therapy proved to be independent risk factors for local recurrence. Because margin status influences local control, tumor margins after wide excision should be accurately determined, and higher doses of radiotherapy and adjuvant therapy are indicated for patients with positive margins.


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