Breast Great Debates in Surgical Oncology - Does Breast-conserving Surgery with Radiotherapy offer Better Survival than Mastectomy in Early-stage Breast Cancer?

Moderator(s)

• 

  Kandace McGuire, MD

  Professor
  Virginia Commonwealth University Health
  Richmond, Virginia, United States

  Disclosure(s): Mammotome, Inc.: Advisor (Ongoing), Speaker (Ongoing)

RCTs demonstrating equivalent survival outcomes in patients with early breast cancer treated with breast-conserving surgery and radiotherapy (BCT) as compared with total mastectomy led to recommendations for breast conservation as the gold standard since the early 90s. Patients may however elect mastectomy based on personal preference. Recent observational retrospective studies with large patient samples suggest improved survival with BCT compared to mastectomy. An evidence-based debate is needed to understand if information discussed with patients should be updated to recommend BCT over mastectomy.

Presentations:

• 11:20am – 11:35am ET

  Pro: All Women with Early Stage Breast Cancer Should be Recommended BCT
  

  Debater - Pro: E. Shelley Hwang, MD, MPH – Duke University School of Medicine
• 11:35am – 11:50am ET

  Con: All Women with Early Stage Breast Cancer can Choose Between BCT and Mastectomy
  

  Debater - Con: Julie A. Margenthaler, MD (she/her/hers) – Washington University St. Louis
• 11:50am – 12:05pm ET

  Q & A