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The basic surgical oncology principle of complete removal of the primary tumor (R0 resection) for nearly all solid tumors has been debated. for the treatment of early-stage breast cancer Based on the ?systemic? view of breast cancer and the clinical data of the NSABP B-08 trial [1] and the emphasis on systemic treatment for improving overall survival [2], it has been suggested that local control during breast-conserving therapy (BCT) was of limited value with regard to overall survival. However, such a strategy with little attention on microscopic tumor-free margins during BCT may be is associated with increased risks not only of local recurrence but also and most important mortality [3, 4]. panerai replica