Tumorectomy plus radiotherapy in the management of XXXX .

@entity1 @entity5 @entity0
From 1974 to 1982 a total of 58 @entity1 with @entity0 , judged not suitable for demolitive surgery because of old age, bad general conditions or other reasons, were treated with simple tumorectomy followed by radiotherapy. The median age of the @entity1 was 71 years. Two @entity1 had @entity0 , both treated with the same conservative approach. Thirty-three @entity5 were classified as T1, 24 as T2, 1 as T3, and 2 as T4 of a small size. The median size of the @entity5 was 2 cm; mean size was 2.24 cm. Radiotherapy was given to the whole breast, followed by a conedown on the @entity5 bed. The median dose to the @entity5 bed was 64 Gy, over 7-9 weeks. Thirty-two @entity1 received irradiation on nodal sites too, up to 45-60 Gy. The median follow-up for the whole series was 44 months. Only 4 of 60 treated breasts have presented a local recurrence (6.6%); relapse-free survival at 3 and 5 years is 85.4% and 79%, respectively. Our results confirm that tumorectomy followed by radiotherapy appears to be a very effective alternative to radiotherapy alone and to demolitive surgery. In fact, local control, survival and cosmetic results are quite satisfactory and achievable through a simple therapeutic modality.
