Abstract

ABSTRACT: Between July 1981 and December 1989, 143 patients received conservative surgery and radiation for 147 primary breast tumors. Ten lesions were staged as Tis, 122 as Tl, and 15 as T2. N stages were NX in 15 cases, N0 in 93, and N1 in 39. All patients had lumpectomy, and 132 (89%) had axillary lymph node dissection. All had irradiation (45 to 50 Gy) to the entire breast. All received an electron boost to the primary site to a total dose of 60 Gy. Minimal follow-up was 18 months, and median follow-up was 56 months; 123 patients had at least 3 years of follow-up, and 59 patients had at least 5 years. The local control rates at 3 and 5 years were 96% and 97%, respectively. Tumorfree states at 3 and 5 years were 93% and 86%, respectively. Minor complications occurred in four patients. Approximately 90% of patients had good to excellent cosmetic results.