Surgical management of breast cancer in the future.
In the 1970s the Halsted operation was abandoned for the modified, muscle-sparing, radical mastectomy by Madden or Patey; in the 1980s breast-conserving surgery was accepted in the surgical treatment of early breast cancer and during the last years of this century sentinel node biopsy has emerged as a method to avoid axillary clearance for node-negative axillae. This will lead to a diminishing number of axillary clearance procedures. Breast cancer surgery will increasingly be performed as day-case operations, under local anaesthesia. The real surgical challenges during the next decade will be immediate breast reconstruction and oncoplastic breast-conserving procedures. Therefore breast surgery will increasingly be performed by plastic surgeons.
von Smitten
K
K
Fourth Department of Surgery, Helsinki University Central Hospital, Finland. karl.smitten@sll.fimnet.fi
D001365:Axilla; D001706:Biopsy; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D005544:Forecasting; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D015412:Mastectomy, Segmental / Q000379:methods / Q000639:trends*; D019651:Plastic Surgery Procedures / Q000639:trends*