Breast conservation surgery without pre-operative mammography--a definite feasibility

The Breast : Official Journal of the European Society of Mastology
Mandar S NadkarniRajendra A Badwe

Abstract

Mammography is mandatory before breast conservation. Its limited availability in developing countries has discouraged surgeons in rural areas from practicing breast conservation. We analyzed the database of breast surgeries at our institute to investigate whether breast conservation could be safely performed if clinically feasible without the use of mammography. If mammography had not been performed in the 735 patients undergoing surgery, breast conservation could have been erroneously performed in 38 (5.17%) patients; 13 had impalpable mammographic multicentricity and 25 had extensive microcalcifications. A detailed analysis showed that this error in decision would have been detected and rectified in each of the above patients before commencement of radiotherapy. We conclude that although mammography cannot be totally excluded from the treatment algorithm for palpable breast cancer, conservative surgery can be offered in clinically suitable cases even if pre-operative mammography is not available due to limited resources in the developing world.

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Citations

Jun 26, 2010·World Journal of Surgery·Benjamin O Anderson, Edward Azavedo
Jan 17, 2007·The Breast : Official Journal of the European Society of Mastology·Hazel Thornton
Oct 7, 2008·Cancer·Roman ShyyanUNKNOWN Breast Health Global Initiative Diagnosis Panel
Apr 8, 2006·The Breast : Official Journal of the European Society of Mastology·Benjamin O Anderson, El Sayed A Khalil
Sep 9, 2016·South Asian Journal of Cancer·Bharath RangarajanJyoti Bajpai

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