title: Extent of primary breast cancer surgery: standards and individualized concepts
creator: Heil, Jörg
creator: Fuchs, Valerie
creator: Golatta, Michael
creator: Schott, Sarah
creator: Wallwiener, Markus
creator: Domschke, Christoph
creator: Sinn, Peter
creator: Lux, Michael P.
creator: Sohn, Christof
creator: Schütz, Florian
subject: ddc-610
subject: 610 Medical sciences Medicine
description: Surgery is still a main therapeutic option in breast cancer treatment. Nowadays, methods of resection and reconstruction vary according to different tumors and patients. This review presents and discusses standards of care and arising questions on how radical primary breast cancer surgery should be according to different clinical situations. In most early breast cancer patients, breast conservation is the method of choice. The discussion on resection margins is still controversial as different studies show conflicting results. Modified radical mastectomy is the standard in locally advanced breast cancer patients, although there are different promising approaches to spare skin or even the nipple-areola complex. A sentinel node biopsy is the standard of care in clinically node-negative invasive breast cancer patients, whereas the significance of axillary lymphonodectomy seems to be questioned through a number of different findings. Although there are interesting findings to modify surgical approaches in very young or elderly breast cancer patients, it will always be an individualized approach if we do not adhere to current guidelines. Up to date, there are no special surgical procedures in BRCA mutation carriers or patients of high-risk families.
publisher: S. Karger AG
date: 2012
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/17836/1/BRC2012007005364.pdf
identifier: DOI:10.11588/heidok.00017836
identifier: urn:nbn:de:bsz:16-heidok-178361
identifier:   Heil, Jörg ; Fuchs, Valerie ; Golatta, Michael ; Schott, Sarah ; Wallwiener, Markus ; Domschke, Christoph ; Sinn, Peter ; Lux, Michael P. ; Sohn, Christof ; Schütz, Florian  (2012) Extent of primary breast cancer surgery: standards and individualized concepts.  Breast care, 7 (5).  pp. 364-369.  ISSN 1661-3791     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/17836/
rights: info:eu-repo/semantics/openAccess
rights: http://archiv.ub.uni-heidelberg.de/volltextserver/help/license_urhg.html
language: eng