The pattern of recurrence following breast conservation has been studi
ed. During the study period there were 59 'recurrences' of which 39 we
re true local recurrences. Of these 39, only 1 occurred within the aff
ected segment on a radius down to or away from the nipple compared wit
h an expected number of 8 (P=0.029). These data question the validity
or the necessity of performing segmental excisions in patients undergo
ing breast conservative surgery.