Surgical Approach in Invasive Breast Cancer

  • Hasan Karanlik
  • Abdullah IgciEmail author


Surgery is an established part of the management of primary breast cancer. Surgical management of breast cancer patients has evolved significantly over the last several decades. With the arrival of sentinel lymph node biopsy, surgical practice for axillary staging in patients with early stage breast cancer has gradually become less invasive, and formal axillary lymph node dissection has been confined to selected patients. Over the last two decades, evidence from randomized clinical trials has enabled the de-escalation of breast cancer surgery in the management of early-stage breast cancer. Staging and treatment of the axilla constitute a key component in determining initial surgical planning and therapeutic strategies in the treatment of early breast cancer. This chapter provides an updated review of the history and evolution of practices and of current practices for patients with breast cancer, with particular attention paid to surgical recommendations.


Mastectomy Breast-conserving surgery Contralateral mastectomy Axillary staging Breast reconstruction Skin-sparing mastectomy Oncoplastic surgery 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Istanbul University, Institute of Oncology, Department of Surgical OncologyIstanbulTurkey
  2. 2.General Surgery, Istanbul Medical Faculty, Department of Surgery, Istanbul UniversityIstanbulTurkey

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