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Surgery to the Breast: Mastectomy

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Abstract

In primary operable breast cancer, breast-conserving surgery with adjuvant whole breast radiotherapy provides excellent local control and is oncologically safe. However, in many patients a mastectomy will still be required in order to adequately treat the disease locally. Modern breast cancer surgery has witnessed a dramatic shift from radical (Halsted) amputating procedures to muscle-sparing mastectomies. Moreover, with the advent of breast reconstruction, mastectomy can be carried out as a skin- and/or nipple-sparing procedure, aiming at maintaining body image without compromising oncological integrity. Herein, the technical and anatomical considerations pertaining to all types of mastectomies are described, and the controversial aspects of conservative mastectomies mainly germane to oncological safety and skin flap and nipple survival are reviewed.

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Author information

Authors and Affiliations

  1. Guy’s and Saint Thomas’ NHS Foundation Trust, London, UK

    Petros Charalampoudis MD, FRCS, FEBS & Tibor Kovacs PhD, FRCS

  2. King’s College London, London, UK

    Petros Charalampoudis MD, FRCS, FEBS & Tibor Kovacs PhD, FRCS

Authors
  1. Petros Charalampoudis MD, FRCS, FEBS
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  2. Tibor Kovacs PhD, FRCS
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Correspondence to Tibor Kovacs PhD, FRCS .

Editor information

Editors and Affiliations

  1. The Medical School Department of Oncology, University of Sheffield, Sheffield, United Kingdom

    Lynda Wyld

  2. Athens University Medical School, Athens, Greece

    Christos Markopoulos

  3. Helsinki University Hospital, Helsinki, Finland

    Marjut Leidenius

  4. Department of Oncology & Radiotherapy, Gdańsk Medical University Department of Oncology & Radiotherapy, Gdańsk, Poland

    Elżbieta Senkus-Konefka

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© 2018 Springer International Publishing AG

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Charalampoudis, P., Kovacs, T. (2018). Surgery to the Breast: Mastectomy. In: Wyld, L., Markopoulos, C., Leidenius, M., Senkus-Konefka, E. (eds) Breast Cancer Management for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-319-56673-3_17

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  • DOI: https://doi.org/10.1007/978-3-319-56673-3_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56671-9

  • Online ISBN: 978-3-319-56673-3

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