الإدارة الجراحية لسرطان الثدي الحليمي الصلب مع دليل على الغزو

References

• Surgical treatment for breast cancer may consist of an excision of the tumour with surrounding normal breast tissue (breast conserving surgery) or mastectomy.
• Axillary surgery should be performed in all patients with invasive breast cancer in order to stage the axilla and eradicate metastatic disease within the nodes.
• Sentinel lymph node biopsy (SLNB) is the axillary staging procedure of choice.
• Patients shown to have axillary node metastases on preoperative axillary ultrasound and FNA should proceed directly to an axillary node clearance.
• Patients with a margin of less than 1 mm should be offered re-excision.
• A 1 mm margin is acceptable and this is the minimal margin that will be accepted in all patients undergoing breast conserving surgery.