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[Conservative surgery for ductal carcinoma in situ of the breast].

Authors
  • Tersigni, R1
  • Mencacci, R
  • Alessandroni, L
  • Baiano, G
  • Mardarella, C
  • Parisi, A
  • 1 Struttura Complessa di Chirurgia Generale 1 Flajani, Azienda Ospedaliera, San Camillo-Forlanini, Roma, Italy. [email protected] , (Italy)
Type
Published Article
Journal
Minerva chirurgica
Publication Date
Aug 01, 2003
Volume
58
Issue
4
Pages
563–569
Identifiers
PMID: 14603170
Source
Medline
Language
Italian
License
Unknown

Abstract

The conservative surgery is considered currently the treatment of choice for the carcinoma of the breast in the initial stage. From 1993 to the 2000, 46 patients (median age 52 years) affected by intraductal carcinoma of the breast, have been submitted to surgical intervention. In 10 cases (21,7%) a palpable mass was observed (mean dimension of 1.3 cm). In 36 cases (78.3%) non palpable lesions were identified by mammography (26 microcalcifications and 10 non palpable masses). All patients have been treated after stereotactic preoperatory mammographic localization of the lesions. 15 simple mastectomies, 11 mammary resections without radiotherapy and 20 mammary resections followed by radiotherapy have been performed. No patient was submitted to axillary dissection. The radiotherapy has been administered with a boost of 50 Gy on the breast. At a 36 months median follow-up all the patients are alive and no local recurrence or distant metastases has been observed. The treatment of choice is the local resection of neoplasm followed by radiotherapy.

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