CONSERVATIVE TREATMENT OF BREAST-CANCER - CONTRAINDICATIONS

Conservative treatment of breast cancer is now an accepted oncological procedure. It further allows a good functional and cosmetic result. T his treatment needs more skills and time than mastectomy, as it does n ot only include a surgical excision but also a postoperative local rad iotherapy and a sometimes difficult follow-up during many years. The c ontraindications for conservative breast cancer therapy are numerous a nd depend on factors as tumor, patient and radiotherapy. As more than 1100 patients have been treated since 1977 in our area at a single rad iooncological center by a breast conserving procedure. We have confirm ed or defined criteria which lead to a good local tumor control as wel l as to good functional and cosmetic results.