Advertisement

Springer Nature is making Coronavirus research free. View research | View latest news | Sign up for updates

Breast conservation therapy (BCT): Surgery as the cornerstone of multi-specialty care

Abstract

Surgical care has been the mainstay of breast cancer diagnosis and treatment. As care has evolved, increased collaborative approaches among surgeons, radiologists, radiation oncologists and medical oncologists have improved the quality of breast cancer treatment for the patient. Breast conservation therapy (BCT) exemplifies how multi-specialty care can increase cancer cure rates at the same time that the disfiguring aspects of breast cancer treatment can be minimized. New questions are being raised within clinical forums about how to do better both for the patient and for her oncologic treatment. The following questions represent three current issues in BCT:

  1. 1.

    What general operative approaches in BCT can minimize morbidity and optimize the cosmetic outcome from surgery?

  2. 2.

    What role does radiation therapy play in BCT for invasive and non-invasive breast cancer to supplement surgical intervention?

  3. 3.

    What role can neoadjuvant chemotherapy play in improving BCT rates?

This is a preview of subscription content, log in to check access.

References

  1. 1)

    Halsted WS: The results of radical operations for the cure of carcinoma of the breast.Ann Surg 46:1, 1907.

  2. 2)

    Silverstein MJ, Lagios MD, Craig PH,et al: A prognostic index for ductal carcinoma in situ of the breast.Cancer 77:2267–2274, 1996.

  3. 3)

    Fisher B, Redmond C, Poisson R,et al: Eight-year results of a randomized clinical trial comparing total mastectomy and lumpectomy with or without irradiation in the treatment of breast cancer.N Engl J Med 320:822–828, 1989.

  4. 4)

    Fisher B, Bryant J, Wolmark N,et al: Effect of preoperative chemotherapy on the outcome of women with operable breast cancer.J Clin Oncol 16:2672–2685, 1998.

  5. 5)

    Avril A, Faucher A, Bussieres E,et al: Results of 10 years of a randomized trial of neoadjuvant chemotherapy in breast cancers larger than 3 cm.Chirurgie 123:247–256, 1998.

Download references

Author information

Correspondence to Benjamin O. Anderson.

About this article

Cite this article

Anderson, B.O. Breast conservation therapy (BCT): Surgery as the cornerstone of multi-specialty care. Breast Cancer 7, 273–275 (2000). https://doi.org/10.1007/BF02966388

Download citation

Key words

  • Breast surgery
  • Breast radiation therapy
  • Preoperative chemotherapy
  • multidisciplinary team