New trends in breast cancer surgery: a therapeutic approach increasingly efficacy and respectful of the patient.

Gianluca Franceschini, Riccardo Masetti, Alejandro Martin Sanchez, Alba Di Leone, Stefano Magno, Francesca Moschella, Cristina Accetta

Risultato della ricerca: Contributo in rivistaArticolo in rivista

34 Citazioni (Scopus)

Abstract

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.
Lingua originaleEnglish
pagine (da-a)145-152
Numero di pagine8
RivistaIL GIORNALE DI CHIRURGIA
Volume36
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • breast cancer
  • surgery

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