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Systematic review of the impact of breast-conserving surgery on cancer outcomes of multiple ipsilateral breast cancers.

Zoe WintersJ HorsnellK T ElversA J MaxwellL J JonesA M ShaabanP SchmidNorman R WilliamsA BeswickR GreenwoodJ C IngramC SaundersJayant S VaidyaL EssermanI JatoiA M Brunt
Published in: BJS open (2018)
The available studies were mainly of moderate quality, historical and underpowered, with limited follow-up and biased case selection favouring BCS rather than mastectomy for low-risk patients. The evidence was inconclusive, weakening support for the St Gallen consensus and supporting a future randomized trial.
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