• Ching-Wei D. Tzeng
  • J. Harrison Howard
  • Kirby I. Bland


When possible, most women choose breast conservation therapy (lumpectomy with radiation therapy) over mastectomy. Under some circumstances, mastectomy is a better option. The technique of mastectomy has evolved since the original classical radical mastectomy. The recent trend is toward greater use of skin-sparing mastectomy (SSM) with immediate reconstruction. Technical aspects of performing a mastectomy are reviewed.


Axillary Node Dissection Skin Flap Contralateral Breast Cancer Prophylactic Contralateral Mastectomy Myocutaneous Flap 
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Suggested Reading

  1. •Bland KI, McCraw JB, Copeland EM, Vasconez LO.  Chapter 39: General principles of mastectomy: evaluation and therapeutic options. In: Bland KI, Copeland EM, editors. The breast: comprehensive management of benign and malignant disorders, vol 1. 3rd ed. St. Louis: Elsevier; 2004. p. 803–42.Google Scholar
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  7. •National Comprehensive Cancer Network Guidelines in oncology: breast cancer. Accessed April 2008.
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Copyright information

© Springer New York 2010

Authors and Affiliations

  • Ching-Wei D. Tzeng
  • J. Harrison Howard
  • Kirby I. Bland
    • 1
  1. 1.Department of SurgeryUniversity of Alabama School of MedicineBirminghamUSA

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