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International Journal of Breast Cancer
Volume 2011, Article ID 107981, 10 pages
http://dx.doi.org/10.4061/2011/107981
Review Article

Breast Conservation Surgery: State of the Art

The Breast Care Unit, Leeds General Infirmary, Leeds, West Yorkshire LS1 3EX, UK

Received 28 February 2011; Accepted 29 May 2011

Academic Editor: Mahmoud B. El-Tamer

Copyright © 2011 Jonathan White et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Breast conservation surgery is available to the vast majority of women with breast cancer. The combination of neoadjuvant therapies and oncoplastic surgical techniques allows even large tumours to be managed with a breast-conserving approach. The relationship between breast size and the volume of tissue to be excised determines the need for volume displacement or replacement. Such an approach can also be used in the management of carefully selected cases of multifocal or multicentric breast cancer. The role of novel techniques, such as endoscopic breast surgery and radiofrequency ablation, is yet to be precisely defined.