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Breast Conserving Surgery

  • BBSG – Brazilian Breast Study Group
Chapter

Abstract

Breast conserving surgery (BCS), also known as quadrantectomy, sectorectomy, or lumpectomy, consists of surgical removal of the primary tumor, with negative margins and whole breast radiotherapy (RT). The addition of RT to conservative surgery reduces the local recurrence rate by 50%, with an impact on mortality at 15 years, according to a meta-analysis by the Early Breast Cancer Trialists Collaborative Group (EBCTCG), showing that the omission of radiotherapy in BCS is not recommended.

Keywords

Breast conserving surgery BCS Margins Radiation therapy Local recurrence 

Recommended Reading

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    Houssami N, Turner RM, Morrow M. Meta-analysis of pre-operative magnetic resonance imaging (MRI) and surgical treatment for breast cancer. Breast Cancer Res Treat. 2017. Revisions on mammary staging with MRI with 19 studies concluded that preoperative MRI is associated with an increased indication of ipsilateral mastectomy and contralateral prophylactic mastectomy. Google Scholar
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    Marinovich ML, Azizi L, Macaskill P, Irwig L, Morrow M, Solin LJ, Houssami N. The association of surgical margins and local recurrence in women with ductal carcinoma in situ treated with breast-conserving therapy: a meta-analysis. Ann Surg Oncol. 2016;23(12):3811–21. A meta-analysis of 20 studies evaluating patients with ductal carcinoma in situ and observing the LR according to the state of the margins. It has been shown that margins wider than 2 mm are not related to lower LR rates. CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • BBSG – Brazilian Breast Study Group
    • 1
  1. 1.BBSGSao PauloBrazil

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