Breast-conserving surgery often choose an earlier stage of disease of breast cancer, tumor size ≤ 3cm usually isolated lesions, if a larger tumor should also take into account the proportion of breast tumor size was; if less than a mass touch, only isolated clusters smile calcification by “three-dimensional positioning” excision biopsy confirmed breast cancer, but also feasible to breast-conserving surgery; tumor location usually the tumor is located in the nipple, areola edge of the breast-conserving tumor edge away from the edge of the areola ≥ 2cm, so after breast-conserving shape the impact will be smaller.
For the breast or chest wall radiation therapy had a history of pregnancy and the need for radiotherapy during pregnancy, breast X ray showed diffuse signs of suspicious or malignant microcalcifications are multi-center, single-incision for partial lesions can not be removed in order to achieve satisfactory results by the appearance, continuous positive surgical margins for breast-conserving treatment, including an absolute contraindication. Breast-conserving treatment of the relative contraindications include: the accumulated activity of the skin connective tissue disease, tumor larger than 5.0cm persons; partial positive pathological margin. For more than 70 years of age, lymph node negative, ER-positive breast cancer underwent breast-conserving surgery and pathological examination if negative surgical margins, postoperative oral administration of tamoxifen or an aromatase inhibitor (AI), can be combined with radiotherapy without .
In patients with breast-conserving surgery in addition to urging an early stage of disease, but also require a more skilled surgeon and meticulous surgical operation of skill, have the necessary equipment and regular systematic radiotherapy systemic treatment for protection. A large number of clinical practice shows that for early breast cancer, radical surgery and breast-conserving surgery plus radiotherapy, 5-year, 10-year recurrence rate, patient survival rates were similar, there is no statistical difference, but breast-conserving surgery can help patients re – build self-confidence, improve quality of life better for the majority of female breast cancer patients to accept. Doctors should be more sympathetic to the feelings of patients, the condition of patients to help them make the most appropriate choice.
