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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