Breast conservation therapy (B,C.T.) comprises local excision, axillary
dissection and post operative radiotherapy. Numerous studies have now
shown that although local recurrence may be slightly more common after
breast conservation than mastectomy, disease-free survival and overall
survival are the same. The primary goals of breast conservation therapy
are tumour control and acceptable appearance of the breast Twenty fe
male patients were included in this study .All patients were suitable for
B.C.T. Their ages ranged from 25 to 60 years (mean age 41.3+8.8 years}.
All patients were subjected to mammography, fine needle aspiration cy
tology (FNAC) and metastatic work up (chest x -ray, abdominal ultra sonography
and bone scans j.The study included 4 patients (20%) in stage
I, 14 patients (70%} in stage H and 2 patients (10%} in stage IE . One pa
tient showed positive safety margin of the lumpectomy specimen and for
whom mastectomy was done. The remaining 19 cases were followed up
for two years . The study showed an excellent cosmetic appearance, how
ever, local recurrence occurred in 3 cases (15.78%). The higher incidence
of local recurrence in the present study may be related to the histopathological
nature of the tumour, the biological behavior of breast cancer in
Egypt or even the sample is so small in number. |
