@entity242 constitutes less than one per cent of @entity0 . A retrospective review of this disease at our institution was undertaken to assess the effect of different treatment modalities on outcome. Over a 24-year period 28 @entity1 were identified. Follow-up ranged from one to 228 months. Partial mastectomy was done in seven @entity1 , whereas ten underwent total mastectomy and nine had modified radical mastectomy. Two refused surgery. All margins of resection were negative. In total ten axillary lymph node dissections were done with no positive nodes identified. Pathologic analysis of @entity5 revealed a variety of @entity242 including high-grade @entity13392 in 13. Recurrence of disease occurred in two @entity1 , both with @entity13392 . One was a local recurrence in a @entity1 who had undergone partial mastectomy. This was successfully treated with a total mastectomy. The second recurrence involved a distant @entity3 in a @entity1 treated with modified radical mastectomy that eventually led to her @entity204 . For the entire group the disease-free survival was 75 per cent at 10 years whereas overall survival was 87.5 per cent. In conclusion an adequate margin of resection is the single most important determinant of long-term survival. Axillary lymph node dissection is not necessary for the treatment of these @entity5 .

Surgical management of primary XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast malignancies'] @entity242 :: ('MESH:D012509', 'Disease') :: ['Primary sarcoma', 'sarcomas'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumors'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity13392 :: ('MESH:D003557', 'Disease') :: ['malignant cystosarcoma phyllodes']
@entity0 :: (MESH:D001943,Disease) :: ['breast sarcoma']
