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By CARLA Okay. JOHNSON – AP Medical Writer
Many ladies with two or three breast tumors can get by with lumpectomy surgery as a substitute of getting their whole breast eliminated, a brand new examine suggests.
In current years, extra patients with a number of tumors have been recognized, because of extra delicate imaging methods that can reveal tiny, once-hidden cancers. This means extra patients can be identified with a number of cancer websites in the identical breast.
In the previous, medical doctors mentioned these ladies wanted a mastectomy. Researchers needed to know: is that this dogma nonetheless legitimate?
They adopted almost 200 ladies with two or three tumors in a single breast who underwent a lumpectomy adopted by radiation. The patients had been between 40 and 87 years outdated. To be eligible for the examine, their tumors needed to be smaller than 5 centimeters and separated by 2 to three centimeters of regular breast tissue.
After 5 years, solely 3% had cancer recurrence, just like earlier lumpectomy research in patients with just one tumor. The examine, supported by the National Institutes of Health, was mentioned Friday on the San Antonio Breast Cancer Symposium.
People additionally learn…
“This study caught my attention very quickly,” mentioned Dr. John Kiluk, a surgeon at Moffitt Cancer Center in Tampa, Fla., who was not concerned with the analysis. “It’s definitely a step forward for our field.”
Lumpectomy advantages embrace sooner restoration and infrequently higher beauty outcomes.
There had been no surgical pointers for these patients, however some medical doctors had been already providing a lumpectomy as an choice, mentioned Dr. Judy Boughey of the Mayo Clinic, who led the analysis.
“It will make them more comfortable with that approach,” Boughey mentioned. “And I think it will also lead to patients asking their surgeon, ‘OK, I have two sites of disease. Do I have to undergo a mastectomy? Or can you give me breast support?’”
The study did not randomly allocate patients to a lumpectomy or mastectomy. That would have provided better data, but finding women willing to be randomly assigned would be nearly impossible, Boughey said, making such an experiment impractical.
In the study, the women who had an MRI before surgery performed best, suggesting that MRI scans can help surgeons remove cancer more thoroughly.
The study is part of a larger research movement aimed at avoiding overtreatment and unnecessary side effects from “proper” cancer treatments, Boughey said.
“Do we have now to throw the kitchen sink at everybody?” she asked. “Which patients need every single option we have available, and which will work just as well without having the kitchen sink thrown at them? Every single treatment has some side effects.”
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