Lumpectomy for Breast Cancer

  • Carol E. H. Scott-Conner
  • Jameson L. Chassin


Lumpectomy is an integral part of breast-conserving therapy for breast cancer. This chapter describes the technique of lumpectomy, including image-guided lumpectomy. Image-guided (commonly termed needle-localized) biopsy is included in this chapter for convenience. Strategies, pitfalls, and complications are also discussed.


Breast Tissue Normal Breast Tissue Suspicious Lesion Axillary Staging Wire Localization 
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Further Reading

  1. Arentz C, Baxter K, Boneti C, Henry-Tillmann R, Westbrook K, Korourian S, Klimberg VS. Ten-year experience with hematoma-directed ultrasound-guided (HUG) breast lumpectomy. Ann Surg Oncol. 2010;17 Suppl 3:378.PubMedCrossRefGoogle Scholar
  2. Clough KB, Kaufman GJ, Nos C, Buccimazza I, Sarfati IM. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010;17:1375.PubMedCrossRefGoogle Scholar
  3. Gainer SM, Lucci A. Oncoplastics: techniques for reconstruction of partial breast defects based on tumor location. J Surg Oncol. 2011;103:341.PubMedCrossRefGoogle Scholar
  4. Henry-Tillman R, Johnson AT, Smith LF, Klimberg VS. Intraoperative ultrasound and other techniques to achieve negative margins. Semin Surg Oncol. 2001;20:206.PubMedCrossRefGoogle Scholar
  5. Margenthaler JA. Optimizing conservative breast surgery. J Surg Oncol. 2011;103:306.PubMedCrossRefGoogle Scholar
  6. Silverstein MJ, Recht A, Lagios MD, Bleiweiss IJ, et al. Special report: consensus conference III. Image-detected breast cancer: state-of-the-art diagnosis and treatment. J Am Coll Surg. 2009;209:504.PubMedCrossRefGoogle Scholar
  7. Thompson M, Henry-Tillman R, Margulies A, Thostenson J, Bryant-Smith G, et al. Hematoma-directed ultrasound-guided (HUG) breast lumpectomy. Ann Surg Oncol. 2007;14:148.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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