title: [The place of surgery in the treatment of advanced localized, recurrent and metastatic breast cancer].
abstract: In the multidisciplinary treatment of locally advanced and metastatic breast cancer, aggressive surgical options can be chosen in selected cases. They may allow: survival to be prolonged by the resection of metastases (liver, ovary, lung), symptomatic treatment (bone pain, local recurrence, infiltration of the chest wall), prevention of potentially disabling complications (pathologic fractures, medullary compression), exclusion of another tumoural or non tumoural diseases. The decision to perform surgery has to be discussed between the surgeon and the oncologist so as to optimise its timing. Surgical treatment can follow induction therapy or can precede chemo- or hormonotherapy.
authors.affiliation: Service de chirurgie, Centre Hospitalier Universitaire Vaudois, Lausanne. Maurice.Matter@chuv.hospvd.ch
authors.forename: M
authors.initials: M
authors.lastname: Matter
authors.forename: M
authors.initials: M
authors.lastname: Dusmet
authors.forename: F
authors.initials: F
authors.lastname: Chevalley
mesh_terms: D000008:Abdominal Neoplasms / Q000556:secondary / Q000601:surgery; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000556:secondary / Q000601:surgery; D008207:Lymphatic Metastasis; D015413:Mastectomy, Simple; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D010996:Pleural Effusion / Q000209:etiology; D013125:Spinal Neoplasms / Q000556:secondary / Q000601:surgery; D013899:Thoracic Neoplasms / Q000556:secondary / Q000601:surgery