Open AccessNew trends in breast cancer surgery: a therapeutic approach increasingly efficacy and respectful of the patient
Author(s) -
Gianluca Franceschini,
Alejandro Martín Sánchez,
Alba Di Leone,
Stefano Magno,
Francesca Moschella,
Cristina Accetta,
Riccardo Masetti
Publication year - 2015
Publication title -
il giornale di chirurgia/il giornale di chirurgia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.188
H-Index - 22
eISSN - 1971-145X
pISSN - 0391-9005
DOI - 10.11138/gchir/2015.36.4.145
Subject(s) - medicine , cosmesis , breast cancer , sentinel node , sentinel lymph node , mastectomy , axilla , general surgery , surgery , radiation therapy , biopsy , breast conserving surgery , stage (stratigraphy) , cancer , radiology , paleontology , biology
The surgical management of breast cancer has undergone continuous and profound changes over the last 40 years. The evolution from aggressive and mutilating treatment to conservative approach has been long, but constant, despite the controversies that appeared every time a new procedure came to light. Today, the aesthetic satisfaction of breast cancer patients coupled with the oncological safety is the goal of the modern breast surgeon. Breast-conserving surgery with adjuvant radiotherapy is considered the gold standard approach for patients with early stage breast cancer and the recent introduction of "oncoplastic techniques" has furtherly increased the use of breast-conserving procedures. Mastectomy remains a valid surgical alternative in selected cases and is usually associated with immediate reconstructive procedures. New surgical procedures called "conservative mastectomies" are emerging as techniques that combine oncological safety and cosmesis by entirely removing the breast parenchyma sparing the breast skin and nipple-areola complex. Staging of the axilla has also gradually evolved toward less aggressive approaches with the adoption of sentinel node biopsy and new therapeutic strategies are emerging in patients with a pathological positivity in sentinel lymph node biopsy. The present work will highlight the new surgical treatment options increasingly efficacy and respectful of breast cancer patients.