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Breast Conservation Surgery (Surgical Biopsy, Lumpectomy, Nipple Exploration, Partial Mastectomy)

  • Lee G. WilkeEmail author
  • Jennifer G. Steiman
Chapter

Abstract

Breast conservation surgery for a benign or malignant breast lesion remains the cornerstone operation for the oncologic and general surgeon. Localization of non palpable lesions is performed with either a wire or radioactive seed but intraoperative ultrasound can be utilized for those with training to employ this approach. Oncoplastic techniques are becoming increasingly popular for excision of a breast malignancy.

Keywords

Lumpectomy Partial mastectomy Oncoplastic Localization 

References

  1. 1.
    Halsted WS. I. The results of operations for the cure of cancer of the breast performed at the Johns Hopkins Hospital from June, 1889, to January, 1894. Ann Surg. 1894;20(5):497–555. PMCID: 1493925.PubMedCentralCrossRefPubMedGoogle Scholar
  2. 2.
    Maddox WA, Carpenter Jr JT, Laws HL, Soong SJ, Cloud G, Urist MM, et al. A randomized prospective trial of radical (Halsted) mastectomy versus modified radical mastectomy in 311 breast cancer patients. Ann Surg. 1983;198(2):207–12. PMCID: 1353081.PubMedCentralCrossRefPubMedGoogle Scholar
  3. 3.
    Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, et al. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med. 2002;347(16):1233–41.CrossRefPubMedGoogle Scholar
  4. 4.
    Veronesi U, Cascinelli N, Mariani L, Greco M, Saccozzi R, Luini A, et al. Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med. 2002;347(16):1227–32.CrossRefPubMedGoogle Scholar
  5. 5.
    Morris AD, Morris RD, Wilson JF, White J, Steinberg S, Okunieff P, et al. Breast-conserving therapy vs mastectomy in early-stage breast cancer: a meta-analysis of 10-year survival. Cancer J Sci Am. 1997;3(1):6–12.PubMedGoogle Scholar
  6. 6.
    Clough K, Kaufman GJ, Nos C, et al. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Sug Onc. 2010;17:1375–91.CrossRefGoogle Scholar
  7. 7.
    Lovrics PJ, Goldsmith CH, Hodgson N, et al. A multi-centered randomized, controlled trial comparing radioguided seed localization to standard wire localization for nonpalpable, invasive and in-situ breast carcinomas. Ann Surg Oncol. 2011;18(12):3407–14.CrossRefPubMedGoogle Scholar
  8. 8.
    Ngo C, Pollet AG, Laperrelle J, et al. Intraoperative ultrasound localization of nonpalpable breast cancers. Ann Surg Oncol. 2007;14(9):2485–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Anderson BO, Masetti R, Silverstein MJ. Oncoplastic approaches to partial mastectomy: an overview of volume displacement techniques. Lancet Oncol. 2005;6(3):145–57.CrossRefPubMedGoogle Scholar
  10. 10.
    Chagpar AB, Killelea BK, Tsangaris TN, et al. A randomized, controlled trial of cavity shave margins in breast cancer. N Engl J Med. 2015;373:503–10.Google Scholar
  11. 11.
    Moo TA, Choi L, Culpepper C, et al. Impact of margin assessment method on positive margin rate and total volume excised. Ann Surg Oncol. 2014;21(1):86–92.PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Wisconsin Hospital and ClinicsMadisonUSA
  2. 2.Department of SurgeryUniversity of WisconsinMadisonUSA

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