title: An update in breast cancer screening and management.
abstract: This article provides an overview of the main controversies in a number of key areas of breast cancer management. Relevant studies that have contributed to guide the treatment of this heterogeneous disease in the field of breast screening, surgery, chemotherapy and radiotherapy are highlighted. Mammography and ultrasound are the main methods of breast screening. MRI and tomosynthesis are emerging as new screening tools for a selected group of breast cancer patients. From a surgical perspective, oncoplastic techniques and neoadjuvant chemotherapy are improving cosmetic results in breast-conserving surgery. For high-risk patients, controversies still remain regarding prophylactic mastectomies. Finally, the appropriate management of the axilla continues evolving with the increasing role of radiotherapy as an alternative treatment to axillary dissection.
authors.affiliation: Department of Breast Surgery, Chris O'Brien Lifehouse, Missenden Road, Sydney 2050, Australia.|RPA Institute of Academic Surgery, Missenden Road, Sydney 2050, Australia.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Warrier
authors.affiliation: Department of Breast Surgery, Chris O'Brien Lifehouse, Missenden Road, Sydney 2050, Australia.
authors.forename: Grace
authors.initials: G
authors.lastname: Tapia
authors.affiliation: Department of Breast Surgery, Chris O'Brien Lifehouse, Missenden Road, Sydney 2050, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Goltsman
authors.affiliation: Department of Medical Oncology, Chris Obrien Lifehouse, Missenden Road, Sydney 2050, Australia.
authors.forename: Jane
authors.initials: J
authors.lastname: Beith
mesh_terms: D000328:Adult; D000368:Aged; D001940:Breast / Q000601:surgery*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D017024:Chemotherapy, Adjuvant; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008408:Mastectomy; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant
keywords: breast cancer; breast cancer management; breast cancer update