title: [Breast cancer surgery].
abstract: The surgery for breast cancer is frequently the first step in a multi-disciplinary care. It allows for local control, but also to establish crucial prognostic factor indicating potential adjuvant therapy. The current trend s towards de-escalation of surgical treatment for reducing the functional and aesthetic morbidity. At the local level, this de-escalation has been made possible by performing most often breast conservative surgery because of the development of oncoplastic techniques, but also because of neoadjuvant chemotherapy. At the axillary level, the reduction of morbidity has been made possible by the advent of the sentinel node biopsy which is more and more indicated year after year.
authors.affiliation: Service de gynécologie obstétrique, hôpital Lariboisiere, AP-HP, université Denis-Diderot Paris-VII, 75010 Paris, France.
authors.forename: Yann
authors.initials: Y
authors.lastname: Delpech
authors.affiliation: Oncochirurgie générale, gynécologique et mammaire, Centre Antoine-Lacassagne, 06189 Nice cedex 2, France.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Barranger
mesh_terms: D001365:Axilla / Q000601:surgery; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008408:Mastectomy / Q000379:methods; D021701:Sentinel Lymph Node Biopsy / Q000379:methods