Breast Conservative therapy means excision of the tumour in the breast with a minimal margin of 1 mm followed by radiotherapy to eradicate any microscopic residual disease.
The goal of Breast Conservative Therapy is to
Breast Conservative therapy is done in woman who have a small tumour in a large breast so that, after excision with a margin of normal tissue the breast still looks good. The patient must also be fit for radiotherapy. The tumour must be restricted to only one area of the breast. When you see us in the clinic we will make a decision as to whether Breast Conservative therapy would be applicable for you.
Breast Conservative Therapy can be done whether the axillary lymph node is present or not.
Yes. Radiotherapy is essential after you do Breast Conservative Surgery.
Studies from UK* and Germany** have shown that approximately one in every 5 women would have a positive margin with Breast Conservative Therapy and that they would need re-operation to remove the tumour and of this 40% had to undergo mastectomy or removal of the breast. We would try to reduce this by doing a frozen section of the tumour. Where in we would biopsy the tissues while the patient is on the operating table and proceed according to the result.