Standardization of the surgical technique in breast-conserving treatment of mammary cancer.
A number of designations--for example excision, wide excision, lumpectomy, tylectomy, extended tylectomy, partial mastectomy, tumorectomy, segmental resection and quadrantectomy--have been applied to operative procedures aimed at treating mammary carcinoma with preservation of the breast. None of them, however, has been explicitly linked to a defined surgical technique and there is no consensus about the terminology. We propose a simple classification system for breast-conserving procedures, which can facilitate the communication between surgeons and the interpretation and exchange of scientific data. We also describe a strictly defined and locally radical partial mastectomy--a sector resection--which has been used at several centres in Sweden for more than 5 years with a favourable outcome so far in terms of local tumour control and the cosmetic result.
Aspegren
K
K
Department of Surgery, Malmö General Hospital, Sweden.
Holmberg
L
L
Adami
H O
HO
D001940:Breast / Q000601:surgery*; D001943:Breast Neoplasms / Q000601:surgery*; D003258:Consumer Behavior; D005260:Female; D006801:Humans; D015412:Mastectomy, Segmental / Q000145:classification* / Q000379:methods / Q000523:psychology; D013518:Surgery, Plastic / Q000379:methods; D009626:Terminology as Topic