What are other contraindications to lumpectomy and radiation?
- Previous radiation to the chest
- Positive margins
- Collagen vascular disease (e.g., scleroderma)
- Extensive DCIS (often seen as diffuse microcalcification)
- Relative contraindications:
- Lesion that cannot be seen on the mammograms (i.e., early recurrence will be missed on follow-up mammograms)
- Very small breast (no cosmetic advantage)