Introduction Two decades have passed since the NSABP and Milan randomized controlled trials reported 20-year outcomes confirming that women with early-stage breast cancer may safely choose to keep their breasts without compromising survival. Breast-conserving therapy (BCT) has become the standard…
Introduction The application of oncoplastic breast surgery techniques in upper hemisphere breast conservation surgery (BCS) affords optimal oncologic and aesthetic outcomes via case-by-case tailored procedures. The goal of this chapter is to provide breast surgeons with multiple reproducible techniques for…
The adoption of breast-conserving therapy as an acceptable alternative to mastectomy opened the door to a wide and varied range of partial breast reconstruction techniques. The term oncoplastic breast surgery , as suggested by Werner Audretsch in 1993, describes the…
Surgery for breast cancer remains the primary form of treatment, yet postoperative rates of acute and chronic pain remain high, resulting in functional impairment, poor quality of life, and need for therapeutic interventions. Nearly 40% of patients undergoing breast cancer…
Rehabilitation of the postmastectomy patient produces problems of varying complexity. This chapter reviews commonly used approaches for the care of postmastectomy wounds and addresses the complications encountered in these patients. The goals of postoperative care are to anticipate and prevent…
Introduction Breast cancer–related lymphedema (BCRL) is the most common etiology of lymphedema in the United States. One out of five women who survive breast cancer will develop lymphedema. Seventy-five percent of patients present within 3 years of their treatment, with…
Controversy has long existed regarding the biological implications and surgical treatment of regional lymph node metastasis in invasive breast cancer. Several factors have resulted in a renewed evaluation of axillary node dissection. First is the continuing biologic controversy that axillary…
Introduction The surgical management of breast cancer has evolved with the development of effective neoadjuvant chemotherapy (NAC) and targeted systemic therapy. In addition to treating early and locally advanced breast cancer, NAC downstages disease in the breast and axilla, allowing…
Intraoperative lymphatic mapping and sentinel lymph node dissection (SLND) has replaced axillary lymph node dissection (ALND) as a minimally invasive and highly accurate staging procedure for early invasive breast cancer. The status of the axillary lymph nodes is an important…
Importance of Margins in Breast-Conserving Surgery Breast-conserving surgery (BCS) is the preferred treatment approach for most patients with early-stage breast cancer. The combination of complete resection of the breast cancer lesion with tumor-free margins followed by radiotherapy provides excellent local…