Journal
BREAST
Volume 15, Issue 5, Pages 595-600Publisher
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.breast.2006.01.010
Keywords
breast cancer; mammography; extensive intraductal component
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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 safety 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. (C) 2006 Elsevier Ltd. All rights reserved.
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