ESTRO Multidisciplinary Management of Breast Cancer 2017

Breast Conservation versus Mastectomy

Expanding Conservation Options:

• Shrinking indications for mastectomy:

• Inflammatory breast cancer

• Tumour size relative to breast size: Used to be 25%, now OPS allows 50% volume resection

• Failed conservation (primary or secondary)

• Position of tumour in the breast: OPS options for all quadrants

• Extensive DCIS

• Risk reduction ??

• Multicentric and multifocal no longer taboo

• Multicentric cancer??

• Neoadjuvant options improving