Reservations about conservative surgery for early breast cancer are unjustified

doi:10.1136/bmj.313.7049.113a

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J Michael Dixon,
S Kohlhardt

Honorary senior lecturer in surgery Edinburgh Breast Unit, University of Edinburgh, Department of Surgery, Royal Infirmary, Edinburgh EH3 9YW
Visiting registrar Nottingham Breast Unit, Nottingham City Hospital, Nottingham NG5 1PB

EDITOR,—E A Benson suggests that tumours over 2 cm in size should not be treated by breast conservation surgery because they seem to be associated with an increased risk of local recurrence.1 To support this Benson reports data from Nottingham.2

In a comprehensive review of factors affecting local recurrence after breast conservation (wide excision and quadrantectomy and postoperative radiotherapy) we have identified 28 publications …