title: [Incidence and treatment of local recurrences after conservative surgical treatment for cancer of the breast].
abstract: Long-term survival is comparable after total mastectomy or conservative surgery for early breast cancer. Our purpose was to evaluate the rate and therapy of breast relapse at the Regional Hospital of Varese (Italy) in a 10 years period. From 1/1/1980 to 31/12/1990 a total of 606 patients with early breast cancer (Stage I or II early) were evaluated. They all were submitted to quadrantectomy, axillary dissection and radiotherapy. In case of metastases to the axillary lymph nodes, hormono or chiotherapy were performed. 425 patients were regularly followed for a period of 2.5-13 years. In 15 patients (3.2%) a local recurrence was discovered. They were treated as follows, 8 patients: mastectomy, 4 patients: conservative surgery, 4 patients: no therapy. The surgical approach of the local recurrence, mastectomy or conservative surgery, does not influence long-term survival of patients treated with conservative surgery and radiotherapy for early stage breast cancer. Conservative surgery is often possible in treating local recurrence without interfering with complete removal of the tumor and long-term survival.
authors.affiliation: Ospedale Multizonale di Varese, Chirurgia Generale 2o Piano, Varese, Italie.
authors.forename: F
authors.initials: F
authors.lastname: Caravati
authors.forename: S
authors.initials: S
authors.lastname: Ginelli
authors.forename: M
authors.initials: M
authors.lastname: Riva
authors.forename: E
authors.initials: E
authors.lastname: Chiesa
authors.forename: A
authors.initials: A
authors.lastname: Calvi
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D015994:Incidence; D008197:Lymph Node Excision; D015409:Mastectomy, Radical; D009364:Neoplasm Recurrence, Local; D012189:Retrospective Studies
vernacular_title: Incidence et traitement des récidives locales après traitement chirurgical conservateur pour cancer du sein.