Evidence is overwhelming that breast conservation, which consists of lumpectomy and radiation, is equivalent to mastectomy for patients with early stage breast cancer. These 2 local therapy options are presented to patients with early stage breast cancer, and decisions are a personal choice after weighing the risks and benefits of both approaches. However, for some patients, breast conservation...

BACKGROUND Dedicated centres to manage breast cancers are important to combat this menace. An example of practice in the U.K. Hospitals is given with an attempt to explain reasons for an urgent need of dedicated breast cancer centres in developing areas of Pakistan. METHODS The rates of breast conservation, mastectomy, and immediate breast reconstruction are compared between a centre in the U...

3. Agarwal S, Agarwal S, Neumayer L, Agarwal JP. Therapeutic nipple-sparing mastectomy: trends based on a national cancer database. American journal of surgery. 2014;208(1):93–8. 4. McLaughlin SA. Surgical management of the breast: breast conservation therapy and mastectomy. The Surgical clinics of North America. 2013;93(2):411–28. 5. 114th United States Congress. Breast Cancer Patient Educatio...

3. Agarwal S, Agarwal S, Neumayer L, Agarwal JP. Therapeutic nipple-sparing mastectomy: trends based on a national cancer database. American journal of surgery. 2014;208(1):93–8. 4. McLaughlin SA. Surgical management of the breast: breast conservation therapy and mastectomy. The Surgical clinics of North America. 2013;93(2):411–28. 5. 114th United States Congress. Breast Cancer Patient Educatio...

BACKGROUND Little data exist on the safety of elective breast surgery following breast conservation therapy. OBJECTIVES The authors evaluate their experience performing reduction mammaplasties and mastopexies in previously irradiated breasts. METHODS A retrospective chart review was conducted of all reduction mammaplasties and mastopexies in previously irradiated breasts performed by the 2 ...

About 10% to 15% of patients who undergo breast-conservation surgery and radiation therapy will subsequently develop ipsilateral breast tumor recurrence (IBTR). This paper reviews the biology, clinical management, and outcome of this entity. Risk factors for IBTR include young age, positive microscopic margins, gross multifocality, an extensive intraductal component, and lymphatic vessel invasi...