Skip Navigation Links



    Learn More     Subscribe    
Join Now!      Login
Medicial Mistakes Quiz
How many people each year suffer some type of preventable harm that contributes to their death after a hospital visit?
hat Doctors Don't Tell You
Breast-conserving surgery is best for cancer

© What Doctors Don't Tell You (Volume 13, Issue 9)

The results of two 20-year long studies into breast cancer treatments have shown that breast-conserving surgery results in better outcomes for women.

The long-term survival rate among women who undergo breast-conserving surgery is the same as that among women who undergo radical mastectomy

In the first study, which ran from 1973 to 1980, Italian researchers randomised 701 women with breast cancers 2 cm in diameter or smaller to undergo either radical mastectomy or breast-conserving surgery followed by radiotherapy (N Engl J Med, 2002; 347: 1227-32).

Tumour recurrence in the same breast occurred in 30 women who had breast-conserving surgery and in eight who had radical surgery. However, after 20 years, there was no significant difference in the rate of death from all causes, or in the occurrence of cancer in the other breast.

In the second study, US researchers evaluated the 20-year follow-up data from 1851 women with invasive breast cancer randomised to treatment with total mastectomy, lumpectomy alone, or lumpectomy and breast irradiation (N Engl J Med, 2002; 347: 1233-41).

Cumulative incidence of a recurrent tumour was 14.3 per cent in the lumpectomy-irradiation group and 39.2 per cent in the lumpectomy without irradiation group, suggesting that lumpectomy followed by breast irradiation continues to be an appropriate therapy for women with breast cancer. There were no significant differences among the three groups in overall, disease-free or long-term disease-free survival. The researchers also noted that, although radiation therapy was associated with a marginally significant decrease in deaths due to breast cancer, this decrease was partially offset by an increase in deaths from other causes.

The same research team had earlier concluded that, over 25 years, radical mastectomy conferred no advantage over other less aggressive forms of mastectomy (N Engl J Med, 2002; 347: 567-75).

Add your comment      
About The Author
What Doctors Don’t Tell You is one of the few publications in the world that can justifiably claim to solve people's health problems - and even save lives. Our monthly newsletter gives you the facts you won't read anywhere else about what works, what doesn't work and what may harm you in both orthodox and alternative medicine. We'll also tell you how you can prevent illness.......more
Share   Facebook   Buzz   Delicious   Digg   Twitter  
From Our Sponsor
Featured Events
Wellness Inventory Certification Training
     September 16-December 16, 2014
     Teleclass, CA USA
Additional Calendar Links
Wellness, Finding Meaning, dimension!

Home       Wellness       Health A-Z       Alternative Therapies       Find a Practitioner       Healthy Products       Bookstore       Wellness Inventory
Healthy Kitchen       Healthy Woman       Healthy Man       Healthy Child       Healthy Aging       Wellness Center       Nutrition Center       Fitness Center
Free Newsletter      What Doctor's Don't Tell You      Discount Lab Tests      First Aid      Global Health Calendar      Privacy Policy     Contact Us

Disclaimer: The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.