Abstract
Results: The margin status was clear (>1mm), close (<1mm) and positive in 149/203 (73.3%), 23/203 (11.33%) and 31/203 (15.2%) of the patients. All 54 patients with positive or close margins underwent re-excision or mastectomy and residual tumour was found in 23/54 patients which represent 11.3%(23/203) of the total study (BCT) group. Risk of residual tumour was significant with positive or close margin (P<0.001), large tumour size (P<0.001) and High grade DCIS (P<0.019). Local (Ipsilateral) breast cancer recurrence occurred in 3/203 of patients with a median follow up of 24 months. 2/3 of these patients had High grade DCIS. Conclusion: Our unit policy is supported by the study that BCT with acceptable early local recurrence rate (1% per annum) is achievable with at least 1mm pathological tumour free margin.
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