[Limited lumpectomy combined with peroperative curietherapy for conservative treatment of breast cancer].
Lumpectomy together with axillary clearance and radiotherapy is a good alternative to Patey's operation for treating early cancers of the breast. In any case it has not been definitely worked out how much should be removed. In certain patients not much needs to be removed, in other larger areas of tissue need to be excised. We present our technique for carrying out limited lumpectomy which is carried out at the same time as radiation therapy making it possible to perform a less radical clearance. The results in the first 17 patients we have followed up with a mean of 4.5 years are very encouraging. There was only one local recurrence; this was some distance away from the area of the lumpectomy. The limits for the method are determined by the examination that is carried out on the margins that have been removed and on the availability of a team comprising surgeon, histopathologist and radiotherapist.
Demange
L
L
Service de Radiothérpie, Institut Jean-Godinot, Reims.
Nzengu
B
B
Rigaud
C
C
D000328:Adult; D000367:Age Factors; D000368:Aged; D001918:Brachytherapy / Q000592:standards*; D001943:Breast Neoplasms / Q000453:epidemiology / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D004954:Esthetics; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006801:Humans; D007430:Intraoperative Care / Q000592:standards*; D008197:Lymph Node Excision / Q000592:standards; D015412:Mastectomy, Segmental / Q000592:standards*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D011829:Radiation Dosage