Consensus Conference on Breast Conservation

Gordon F. Schwartz, Umberto Veronesi, Krishna B. Clough, J. M. Dixon, Ian S. Fentiman, Sylvia H. Heywang-Köbrunner, Roland Holland, Kevin S. Hughes, Richard Margolese, Ivo A. Olivotto, Juan P. Palazzo, Lawrence J. Solin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

As the conference concluded, the panelists largely concurred on standards for the selection of patients for BCT, agreeing that tumor characteristics, such as histology, multifocality, and presence of EIC, do not affect suitability for treatment by BCT as long as the tumor can be completely excised with clear margins. The major disagreement was the width of the clear margin required around the tumor, ranging from no tumor at the transected edge of the excision to free margins of 10 mm circumferentially around the tumor. The emerging role of MRI in the selection of patients for BCT was appreciated by all of the participants. The lack of specificity of MRI requires continuing clinical trials to unravel this problem before MRI can be used to define patient selection more precisely. The faculty of this conference unanimously agreed with the concept of multidisciplinary treatment centers as the most efficient and effective manner in which breast cancer patients should be treated. As the science of breast cancer expands exponentially, patient benefits depend on the continuing collaboration and cooperation of multiple disciplines. All of the panelists agreed that the major issues in BCT had been addressed in enough detail to permit the development of these formalized guidelines for patient care. The group recognized, however, that these published proceedings are editorial opinions of the group and not strictly evidence-based. Therefore, they must not be construed as establishing a standard of care to which all treating physicians should adhere. Individual patient management must be determined by unique patient circumstances and health providers' capabilities. Treatment recommendations are the responsibility of individual physician(s) with the full participation of the patient.

Original languageEnglish
Pages (from-to)178-185
Number of pages8
JournalSeminars in Breast Disease
Volume10
Issue number4
DOIs
Publication statusPublished - Dec 2007

Fingerprint

Breast
Patient Selection
Neoplasms
Breast Neoplasms
Physicians
Patient Participation
Standard of Care
Histology
Patient Care
Therapeutics
Clinical Trials
Guidelines
Health

ASJC Scopus subject areas

  • Oncology

Cite this

Schwartz, G. F., Veronesi, U., Clough, K. B., Dixon, J. M., Fentiman, I. S., Heywang-Köbrunner, S. H., ... Solin, L. J. (2007). Consensus Conference on Breast Conservation. Seminars in Breast Disease, 10(4), 178-185. https://doi.org/10.1053/j.sembd.2007.10.005

Consensus Conference on Breast Conservation. / Schwartz, Gordon F.; Veronesi, Umberto; Clough, Krishna B.; Dixon, J. M.; Fentiman, Ian S.; Heywang-Köbrunner, Sylvia H.; Holland, Roland; Hughes, Kevin S.; Margolese, Richard; Olivotto, Ivo A.; Palazzo, Juan P.; Solin, Lawrence J.

In: Seminars in Breast Disease, Vol. 10, No. 4, 12.2007, p. 178-185.

Research output: Contribution to journalArticle

Schwartz, GF, Veronesi, U, Clough, KB, Dixon, JM, Fentiman, IS, Heywang-Köbrunner, SH, Holland, R, Hughes, KS, Margolese, R, Olivotto, IA, Palazzo, JP & Solin, LJ 2007, 'Consensus Conference on Breast Conservation', Seminars in Breast Disease, vol. 10, no. 4, pp. 178-185. https://doi.org/10.1053/j.sembd.2007.10.005
Schwartz GF, Veronesi U, Clough KB, Dixon JM, Fentiman IS, Heywang-Köbrunner SH et al. Consensus Conference on Breast Conservation. Seminars in Breast Disease. 2007 Dec;10(4):178-185. https://doi.org/10.1053/j.sembd.2007.10.005
Schwartz, Gordon F. ; Veronesi, Umberto ; Clough, Krishna B. ; Dixon, J. M. ; Fentiman, Ian S. ; Heywang-Köbrunner, Sylvia H. ; Holland, Roland ; Hughes, Kevin S. ; Margolese, Richard ; Olivotto, Ivo A. ; Palazzo, Juan P. ; Solin, Lawrence J. / Consensus Conference on Breast Conservation. In: Seminars in Breast Disease. 2007 ; Vol. 10, No. 4. pp. 178-185.
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