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What are the current Indications for
Mastectomy?
•
Absolute
•
Patient choice
•
Inflammatory cancer
•
Failed conservation surgery
•
Multicentric carcinoma or DCIS
spanning >1 quadrant or separated
by more than 4cm…..
may be safe
with oncoplastic techniques if
oligocentric
•
Previous radiotherapy….
some
exclusions may be safe
•
Size of tumour? Upper
limit…..
neoadjuvant therapy may
help
•
Relative
•
BRCA gene carrier…..
but debate
about survival advantage for some
sub groups
•
Large size of tumour relative to
breast size….
but neoadjuvant therapy
and oncoplastics may address this
.
•
Multifocal breast cancer
……but may
be safe with oncoplastic techniques