The meaning of local recurrence in conservative treatment of breast cancer
DOI:
https://doi.org/10.22491/2357-9730.125890Keywords:
Breast cancer, local recurrence, mastectomy, conservative surgery, prognostic factorsAbstract
Conservative surgery associated with radiotherapy has shown overall survival rates similar to those of radical mastectomy, despite a great deal of variation in the rate of local recurrence according to different surgical approach. The free margins and absence of radiotherapy have a significant impact on local recurrence. In this review, factors associated with positive or negative outcomes are reviewed , as well diagnosis and treatment difficulties. At the moment, the best predictive factor for outcome of local recurrence is disease extension at initial diagnosis and treatment. Despite the fact that local recurrence after mastectomy is associated with systemic disease, patients with recurrence after BCT seem to have a more positive prognosis.
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