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Breast Conservation versus Mastectomy
Expanding Conservation
Options:
•
Tumour size relative to breast size:
Used to be 25%, now OPS allows
50% volume resection
•
Position of tumour in the breast:
OPS options for all quadrants
•
Multicentric and multifocal no
longer taboo
•
Neoadjuvant options improving
•
Shrinking indications for
mastectomy:
•
Inflammatory breast cancer
•
Failed conservation (primary
or secondary)
•
Extensive DCIS
•
Risk reduction ??
•
Multicentric cancer??