Who should not undergo breast conservation?
Risk factors:
•
> focally incomplete margins: x2
•
< 35 years: x 2
(yes, but: see later)
•
no radiotherapy: x
3-6
In larger cancers
PST to be considered.
Oncoplastic procedures to be available.
Finally: remains an individual decision
Nijenhuis MV, Rutgers EJ. Breast. 2013;22 Suppl 2:S110-4.
Oncoplastic surgery: background