Proceedings of the consensus conference on breast conservation, Milan, Italy, April 28-May 1, 2005.

摘要

In a single generation, the treatment of most women with early-stage breast cancer has changed dramatically. Clinical trials with more than 20 years' follow-up have documented that, for appropriately selected patients, breast-conserving surgery followed by whole-breast irradiation has an outcome equivalent to mastectomy. The appropriate selection of patients remains controversial. Questions remain regarding the role of new diagnostic imaging modalities, radiation therapy techniques, achieving optimal cosmesis, the choice, and the timing of adjuvant chemotherapy.To address these issues, the fifth international consensus conference of the Breast Health Institute, cosponsored by the European Institute of Oncology, was convened in Milan from April 29 through May 1, 2005, inviting a group of experts in breast cancer and breast conservation, representing each of the disciplines involved in the care of these patients. From recorded transcripts of the discussion, these proceedings were written to summarize theopinions and conclusions of the entiregroup. The conference dealt only with invasive cancer; ductal carcinoma in situ was intentionally not discussed.