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Hence, more breast conservation should be encouraged where indicated.
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More patients with locally advanced breast cancer become operable, more have breast conservation surgery with complete excision, and there are lower local recurrence rates.
Surgical management of CBC was more often breast conservation than mastectomy, in keeping with the preponderance of small cancers in this group.
However, compared to PABC <5 cases, nulliparous cases more often underwent breast conservation therapy (22.9 vs. 46.8 %), while PABC <5 cases received mastectomy more frequently compared to nulliparous cases (p < 0.0001) (Table 1).
This series suggests that NAC offers more opportunities for breast conservation than are being realised.
A population-based study found that patients treated by surgeons with higher breast cancer case-loads were more likely to receive breast conservation therapy [ 14].
The initial phase was the attention to wide local excision surgery, employing a more sensitive take on breast conservation, with scar placement and parenchymal reshaping.
In one economic analysis spanning a five year horizon after breast cancer treatment, Polsky and colleagues found that the initial costs of six weeks of radiation makes breast conservation more expensive than mastectomy, with no significant differences in quality-adjusted survival.
More and more women with DCIS are being treated by breast conservation, and in the Netherlands screen-detected DCIS is more often treated by conservation than clinically diagnosed DCIS.
This can make early diagnosis challenging [ 5, 6] and breast conservation approaches more difficult.
21 It is clear that these methods will be able to determine cosmetic outcomes after breast conservation therapy more objectively, concretely, and accurately.
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