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Management of local and regional recurrence after mastectomy or breast-conserving treatment.

Authors
  • Ames, F C1
  • Balch, C M
  • 1 University of Texas M.D. Anderson Cancer Center, Houston.
Type
Published Article
Journal
The Surgical clinics of North America
Publication Date
Oct 01, 1990
Volume
70
Issue
5
Pages
1115–1124
Identifiers
PMID: 2218822
Source
Medline
License
Unknown

Abstract

Locoregional failures after primary treatment for breast cancer include a diverse group of lesions that represent different categories of failures with various prognoses. Although patients with chest wall recurrences and regional nodal failures after traditional radical surgery have a poor prognosis, many patients can still achieve a significant degree of palliation and even long-term survival or cure with carefully orchestrated multimodal treatment. In patients who have breast failures after breast-conservation surgery and radiation, long-term salvage and cure can be achieved for the majority with prompt detection and appropriate treatment, which, like treatment for primary breast cancer, includes a consideration not only of local control but also of the risk of subsequent systemic failure and its need for treatment.

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