Abstract
The management of breast cancer has evolved into a multidisciplinary evidence-based surgical speciality, with emphasis on conservative surgery. A number of landmark trials have established lumpectomy followed by radiation as the standard of care for many patients. The aim of this study is to construct a narrative review of recent developments in the surgical management of breast cancer and how such developments have impacted surgical practice. A comprehensive literature search of Pubmed was conducted. The latest search was performed on October 31st, 2020. Search terms “breast cancer” were used in combinations with specific key words and Boolean operators relating to surgical management. The reference lists of retrieved articles were comprehensively screened for additional eligible publications. Articles were selected and reviewed based on relevance. We selected publications in the past 10 years but did not exclude commonly referenced and highly regarded previous publications. Review articles and book chapters were also cited to provide reference on details not discussed in the academic literature. This article reviews the current evidence in surgical management of early-stage breast cancer, discusses recent trends in surgical practice for therapeutic and prophylactic procedures and provides commentary on implications and factors associated with these trends.
Highlights
Frontiers in OncologyThe management of breast cancer has evolved into a multidisciplinary evidence-based surgical speciality, with emphasis on conservative surgery
Breast surgery is a complex multi-disciplinary surgical specialty
Despite higher local recurrence in the breast conserving surgery (BCS) group, there was no significant difference in long-term survival in those who underwent radical mastectomy compared to BCS and radiotherapy [1]
Summary
The management of breast cancer has evolved into a multidisciplinary evidence-based surgical speciality, with emphasis on conservative surgery. The aim of this study is to construct a narrative review of recent developments in the surgical management of breast cancer and how such developments have impacted surgical practice. A comprehensive literature search of Pubmed was conducted. Search terms “breast cancer” were used in combinations with specific key words and Boolean operators relating to surgical management. Articles were selected and reviewed based on relevance. Review articles and book chapters were cited to provide reference on details not discussed in the academic literature. This article reviews the current evidence in surgical management of early-stage breast cancer, discusses recent trends in surgical practice for therapeutic and prophylactic procedures and provides commentary on implications and factors associated with these trends
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have