[Local treatment of breast carcinoma: when is breast-saving therapy not indicated?].
Conservative treatment of breast cancer is now an accepted oncological procedure. It further allows a good functional and cosmetic result. This treatment needs more skills and time than mastectomy, as it does not only include a surgical excision but also a postoperative local radiotherapy and a sometimes difficult follow-up during many years. The contraindications for conservative breast cancer therapy are numerous and depend on factors as tumor, patient and radiotherapy. As more than 1100 patients have been treated since 1977 in our area at a single radiooncological center by a breast conserving procedure. We have confirmed or defined criteria which lead to a good local tumor control as well as to good functional and cosmetic results.
Dupont Lampert
V
V
Abteilung für Chirurgie, Universität Basel.
Zuber
M
M
Laffer
U
U
Almendral
A
A
Landmann
C
C
Harder
F
F
D001943:Breast Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D018567:Breast Neoplasms, Male / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D000075202:Contraindications; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D015409:Mastectomy, Radical; D015412:Mastectomy, Segmental; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D009367:Neoplasm Staging; D018714:Radiotherapy, Adjuvant; D012307:Risk Factors
Lokale Behandlung des Mamma-Karzinoms: Wann ist eine brusterhaltende Therapie nicht geeignet?