Multifocal and multicentric breast cancer, is it time to think again?

Author:

Masannat YA12,Agrawal A3,Maraqa L4,Fuller M12,Down SK56,Tang SSK7,Pang D1,Kontos M8,Romics L9,Heys SD12

Affiliation:

1. Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK

2. University of Aberdeen, School of Medicine, Medical Science and Nutrition, Aberdeen, UK

3. Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

4. Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK

5. James Paget University Hospitals NHS Foundation Trust, Great, UK

6. University of East Anglia, Norwich Medical School, Athens, Greece

7. St George’s University Hospitals NHS Foundation Trust, London, UK

8. National and Kapodistrian University of Athens, Athens, Greece

9. New Victoria Hospital and Queen Elizabeth University Hospital, Glasgow, UK

Abstract

Multifocal multicentric breast cancer has traditionally been considered a contraindication to breast conserving surgery because of concerns regarding locoregional control and risk of disease recurrence. However, the evidence supporting this practice is limited. Increasingly, many breast surgeons are advocating breast conservation in selected cases. This short narrative review summarises current evidence on the role of surgery in multifocal multicentric breast cancer and shows that when technically feasible the option of breast conservation is oncologically safe.

Publisher

Royal College of Surgeons of England

Subject

General Medicine,Surgery

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