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CC BY-NC-ND 4.0 · Senologie - Zeitschrift für Mammadiagnostik und -therapie 2021; 18(02): 126-135
DOI: 10.1055/a-1196-2951
Wissenschaftliche Arbeit

Treatment of Ipsilateral Breast Cancer Recurrence (IBCR) after Breast Conservation Therapy (BCT)

Artikel in mehreren Sprachen: English | deutsch
Bernd Gerber
  Department of Obstetrics and Gynaecology, Klinikum Südstadt Hansestadt Rostock
,
Steffi Hartmann
  Department of Obstetrics and Gynaecology, Klinikum Südstadt Hansestadt Rostock
,
Angrit Stachs
  Department of Obstetrics and Gynaecology, Klinikum Südstadt Hansestadt Rostock
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Abstract

In-breast recurrence or ipsilateral breast cancer recurrence (IBCR) suspected by imaging or palpation, second primary carcinoma and any distant metastases should be ruled out by core biopsy prior to breast surgery. The surgical standard in IBCR management is salvage mastectomy. Increasingly, however, patients express a justified desire for breast conservation in IBCR. In favourable relations of tumour and breast size, long interval between primary disease and IBCR recurrence, favourable tumour biology and ruled out distant metastases, re-BCT may be an option. As patients usually have undergone adjuvant radiotherapy already, re-radiotherapy (brachytherapy/percutaneous RT) should be explored. Systemic management must be based on tumour biology and prior treatment. While the risk of local recurrence increases following re-BCT, overall survival is not compromised.

Key words

breast cancer - ipsilateral breast recurrence - second primary breast cancer - repeat lumpectomy - salvage mastectomy

Schlüsselwörter

Brustkrebs - In-Brust-Rezidiv - Zweitkarzinom - erneute Brusterhaltung - Salvagemastektomie


Publikationsverlauf

Artikel online veröffentlicht:
18. März 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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