Again the metastatic work up was negative and the patient decided against mastectomy.
Patient did not wish to undergo mastectomy and requested laser therapy.
This is typically the case in the insetting of delayed reconstruction after mastectomy and postoperative radiation therapy.
Large-scale clinical trials have shown that breast conservation therapy, involving lumpectomy and radiation therapy, results in survival rates equivalent to those seen with mastectomy.
It is also debatable at what age to offer surgery, and whether total mastectomy is justified.
Therefore, even if tamoxifen only has a modest benefit, it may be preferable over mastectomy to some women from a quality of life perspective.
Of the 30% of women requiring mastectomy, the model assumes that none receive radiotherapy.
The explanation is that a woman operated on with breast-conserving surgery can, if a relapse occurs, be forced to undergo a subsequent mastectomy.
