Home:
Meeting
Highlights: 2000
Interactive Report
Management
of Centrally Located Invasive Breast Cancers
15.A.
43-year-old woman . . .
15.B. 63-year-old woman . . .
15.C. 83-year-old woman . . . with two centimeter breast mass in
subareolar area with nipple retraction, and no apparent skin involvement.
Core biopsy - IDC, ER/PR+. Your suggested management:
|
|
A
|
B
|
C
|
| Lumpectomy |
9%
|
7%
|
5%
|
| Lumpectomy
with excision of overlying nipple-areolar complex |
70%
|
76%
|
75%
|
| MRM
|
19%
|
15%
|
19%
|
| Pre-op
chemotherapy |
2%
|
1%
|
1%
|
| Pre-op
radiation therapy |
-
|
0%
|
0%
|
| Pre-op
hormonal therapy |
0%
|
1%
|
0%
|
| Other
|
0%
|
0%
|
0%
|
Patrick Borgen, MD
Case
A.
This is an incredible question, because 79 percent of the audience
is recommending breast conservation in this patient. That's really
heartening! Central location should not be a contraindication to
conserving the breast. And time and time again, we see patients
who have a mastectomy because a small cancer was close to the nipple.
So, this is really very, very encouraging. We would also offer them
conservation.
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Management of Centrally Located Invasive Breast Cancers
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