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Breast Cancer pp 273-283 | Cite as

Breast Conservation Without Radiation Therapy for Carcinoma of the Breast

  • Gordon F. Schwartz
Chapter
Part of the Current Clinical Oncology book series (CCO)

Abstract

The surgical management of carcinoma of the breast has evolved from the Halstedian radical mastectomy of the last millennium through first more radical (extended) and then less formidable (modified) forms of mastectomy, but still using the same adjective, “radical,” in the description of the operation. Dissection of the axilla was truncated from complete dissection of levels I, II, and III, to dissection of levels I and II only. In the last quarter of the last century, following reports of successful clinical trials of radiation therapy as an alternative, mastectomies of all kinds began to be replaced by so-called breast-conserving therapy (BCT), implying local excision of the primary tumor with “clear” margins around it, plus axillary dissection of levels I and II, and then radiation therapy to the entire breast and a boost of radiation to the site of the tumor itself. Despite the obvious difference in the technique and its appearance, the same principles apply for BCT as for mastectomy. Whether removed or radiated, the entire breast is treated, and whether the entire axilla is dissected or merely sampled by sentinel node biopsy, axillary node status is addressed.

Keywords

Sentinel Node Biopsy Invasive Cancer Local Excision Invasive Lobular Carcinoma Axillary Dissection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Gordon F. Schwartz

There are no affiliations available

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