Invasive breast carcinoma: Patient selection for conservative management

McCormick, Beryl

doi:10.1016/1053-4296(92)90011-9

Cited by 8 publications

(1 citation statement)

References 48 publications

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“…These include an inability to obtain satisfactory surgical margins around the primary tumour, evidence of widespread diffuse micro‐calcifications on mammography, a large tumour–breast size ratio, or concerns regarding the use of radiation therapy in patients who have a first or second trimester pregnancy, collagen vascular disease or previous therapeutic irradiation to the breast region. 19 …”

Section: Discussionmentioning

confidence: 99%

The rate of breast‐conserving surgery in early breast cancer: An audit of surgical practice at St Vincent’s campus, NSW in 1990 and 1994

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Morgan

2000

Australasian Radiology

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An audit was undertaken to document the use of breast-conserving surgery (BCS) in the management of early breast cancer (EBC) at St Vincent's campus during two time periods, the calendar years 1990 and 1994. The medical records of all women diagnosed with a new primary breast cancer at St Vincent's Public and Private Hospitals initially treated during 1990 and 1994 were reviewed to document patient, tumour and treatment characteristics. Comparisons were made with data on BCS in EBC from the Australian medical literature. A total of 228 patients was managed with a definitive surgical procedure in the years 1990 and 1994. There were no major differences in the manner of presentation, the tumour subtypes or the treatment techniques between the two years. There was an apparent increase in the number of tumours < 2 cm managed in 1994 but no major difference in the use of BCS. The BCS rates for the two years were 33 and 36%, respectively. There were wide variations in the rate of BCS between surgeons, and for the same surgeon, between the two calendar years. These data from a major teaching hospital serving a largely non-mammographically screened population would suggest that BCS rates for EBC are lower than expected. The data on BCS rates for EBC in Australia are limited and the optimal rate of BCS in current practice is unknown.

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Section: Discussionmentioning

confidence: 99%

The rate of breast‐conserving surgery in early breast cancer: An audit of surgical practice at St Vincent’s campus, NSW in 1990 and 1994

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Morgan

2000

Australasian Radiology

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The Importance of Mammographic Screening Relative to the Treatment of Women With Carcinoma of the Breast

Solin

Legorreta²,

Schultz³

et al. 1994

Arch Intern Med

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These results show that breast cancers detected in women who had undergone mammographic screening were more likely to be eligible for breast-conserving surgery and definitive breast irradiation compared with breast cancers detected in women who had not undergone mammographic screening. For women aged 50 years or more, there was a significant increase in the use of breast-conserving surgery and definitive breast irradiation for eligible breast cancers detected in women who had undergone mammographic screening compared with eligible breast cancers detected in women who had not undergone mammographic screening.

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