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Cosmetic results following lumpectomy, axillary dissection and radiotherapy for small breast cancers



Cosmetic results following lumpectomy, axillary dissection and radiotherapy for small breast cancers



Radiotherapy & Oncology 12(4): 273-280



Between 1970 and April 1982, women with T1, small T2, N0, N1, M0 breast cancer were managed by lumpectomy, axillary dissection and radiotherapy at the Institut Gustave-Roussy (IGR). The overall cosmetic result and the degree of asymmetry, fibrosis and telangiectasia of the treated breast were assessed by the radiation oncologist at each follow-up visit. The changes in these cosmetic parameters with time are shown. At 5 years the overall cosmetic result was excellent in 58%, good in 38% and fair or poor in 8%. A multivariate analysis was performed of the factors associated with a cosmetic defect. The most significant factors were tumour size, the presence of defect after surgery and the daily applied dose per fraction of the breast. Surgical and radiotherapy technique (especially alternate day fractionation) can significantly affect the cosmetic result obtained.

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Accession: 007165471

Download citation: RISBibTeXText

PMID: 3187067

DOI: 10.1016/0167-8140(88)90016-3


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