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10.1245/ASO.2003.05.931
Annals of Surgical Oncology 10:994-995 (2003)
© 2003 Society of Surgical Oncology
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LETTERS TO THE EDITOR

Breast Conservation for T1–2 Breast Carcinomas

Mordechai Gutman, MD

Department of Surgery, Faculty of Medicine Tel-Aviv University, Meir Hospital, Kfar-Sava, Israel

To the Editor:

I read with great interest the article by Ho et al.1 and the editorial by Singletary and Robb2 in the March issue of the Annals of Surgical Oncology. Both stress the safety of skin-sparing mastectomy.

The procedure is described as good, safe, and even the dogma of removing the nipple-areola complex can be challenged.

The numbers were especially good in peripheral T1 and T2 tumors, and the editorial supported this data by their own institutional experience.

However an option that was never mentioned in the article and editorial is breast-conserving surgery!

Why do a mastectomy (of any kind) for a small peripheral tumor?

I think that both the article (which did not specify the indications for mastectomy) and the editorial might be misleading. I think that many oncological surgeons will concur that the procedure of choice for a small breast carcinoma is breast-conserving surgery. Mastectomy should have its specific indications, and large tumors should be treated with caution since even Ho et al.1 showed 60% skin involvement in T3 tumors.

REFERENCES

  1. Ho CM, Mak CLK, Lau Y, Cheung WY, Chan MCM, Hung WK. Skin involvement in invasive breast carcinoma: safety of skin-sparing mastectomy. Ann Surg Oncol 2003; 10: 102–7.[Abstract/Free Full Text]
  2. Singletary SE, Robb GL. Oncologic safety of skin-sparing mastectomy. Ann Surg Oncol 2003; 10: 95–7.[Free Full Text]




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