Standardization of the surgical technique in breast-conserving treatment of mammary cancer

Br J Surg. 1988 Aug;75(8):807-10. doi: 10.1002/bjs.1800750829.


A number of designations--for example excision, wide excision, lumpectomy, tylectomy, extended tylectomy, partial mastectomy, tumorectomy, segmental resection and quadrantectomy--have been applied to operative procedures aimed at treating mammary carcinoma with preservation of the breast. None of them, however, has been explicitly linked to a defined surgical technique and there is no consensus about the terminology. We propose a simple classification system for breast-conserving procedures, which can facilitate the communication between surgeons and the interpretation and exchange of scientific data. We also describe a strictly defined and locally radical partial mastectomy--a sector resection--which has been used at several centres in Sweden for more than 5 years with a favourable outcome so far in terms of local tumour control and the cosmetic result.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breast / surgery*
  • Breast Neoplasms / surgery*
  • Consumer Behavior
  • Female
  • Humans
  • Mastectomy, Segmental / classification*
  • Mastectomy, Segmental / methods
  • Mastectomy, Segmental / psychology
  • Surgery, Plastic / methods
  • Terminology as Topic