Abstract
The performance of a proper lumpectomy requires balancing the features required for cancer control against those for best cosmesis. Certain caveats have been established by custom without evaluation of their true importance. These include the need for clear margins, concerns for any extensive component of duct carcinoma-in-situ (DCIS), and the size of the primary tumor. Surveys of present clinical practice indicate that lumpectomy has not replaced mastectomy as the common operation for breast cancer in most centers. This suggests an incorrect understanding of the relation of lumpectomy or mastectomy to distant treatment failures, and also of the importance of local tumor control as a factor in the selection of primary treatment.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Fisher B, Redmond C, Fisher ER, Bauer M, Wolmark N, Wickerham L, Deutsch M, Montague E, Margolese R, Foster R (1985) Ten-year results of a randomized clinical trial comparing radical mastectomy and total mastectomy with or without radiation. N Engl J Med 312:11:674–681
Fisher B, Bauer M, Margolese R, Poisson R, Pilch Y, Redmond C, Fisher E, Wolmark N, Deutsch M, Montague E, Saffer E, Wickerham L, Lerner H, Glass A, Shibata H, Deckers P, Ketcham A, Oishi R, Russell I (1985) Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer. N Engl J Med 312:11:665–673
Fisher B, Redmond C, Poisson R, Margolese R, Wolmark N, Wickerham L, Fishier E, Deutsch M, Caplan R, Pilch Y, Glass A, Shibata H, Lerner H, Terz J, Sidorovitch L (1989) Eight-year results of a randomized clinical trial comparing total mastectomy and lumpectomy with or without irradiation in the treatment of breast cancer. N Engl J Med 320:13:822–828
Kurtz JM, Amalric R, Brandone H, Ayme Y, Sjpitalier JM (1988) Results of wide excision for mammary recurrence after breast-conserving therapy. Cancer 61:1969–1972
Morgenstern L, Kaufman PA, Friedman NB (1975) The case against tylectomy for carcinoma of breast - factor of multicentricity. Am J Surg 130:251
Sandison AT (1975) Multicentric breast cancer: incidence of new cancers in homolateral breast after partial mastectomy. Cancer 35:475
Crile G (1975) Results of conservative treatment of breast cancer at 10 and 15 years. Ann Surg 181:26–30
Holland R, Solke H, Veling J et al. (1985) Histologic multifocality of T1, T1–2 breast carcinomas - implications for clinical trials of breast conserving surgery. Cancer: 979–990
Veronesi U, Volterrani F, Luini V, Saccozzi R, Del Vecchio M, Zucali R, Galimberti V, Rasponi A, Di Re E, Squicciarini P, Salvadori B (1990) Quadrantectomy versus lumpectomy for small size breast cancer. Eur J Cancer 26:6:671–673
Fisher B, Anderson S, Fisher ER, Redmond C, Wickerham DL, Wolmark N, Mamounas EP, Deutsch M, Margolese RG (1991) Significance of ipsilateral breast tumour recurrence after lumpectomy. Lancet 338:8763:327–331
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Berlin · Heidelberg
About this paper
Cite this paper
Margolese, R.G. (1993). Selection and Technique for Lumpectomy. In: Senn, HJ., Gelber, R.D., Goldhirsch, A., Thürlimann, B. (eds) Adjuvant Therapy of Breast Cancer IV. Recent Results in Cancer Research, vol 127. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84745-5_14
Download citation
DOI: https://doi.org/10.1007/978-3-642-84745-5_14
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-84747-9
Online ISBN: 978-3-642-84745-5
eBook Packages: Springer Book Archive