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. 2011 May 4;14(2):47–54. doi: 10.1016/j.jus.2011.04.002

Table 6.

Current options for primary breast cancer surgery.

T <3 cm N0 Breast-conserving surgery + sentinel lymph nodes (SLN) + local radiotherapy (RT) – Also used for multifocal disease in the same quadrant
Not multifocal
T <3 cm N1–N2 Breast-conserving surgery + axillary lymphadenectomy + RT – Also used for multifocal disease in the same quadrant
T >3 cm in pt. with macromastia
  • T >3 cm N0–N1–N2

  • Multisector CA

  • Radical mastectomy without RT + reconstruction (immediate or delayed)

  • Possible SLN (for N0)

  • – RT if doubts arise about the completeness of surgical eradication

  • – In T1–2 if RT is not possible or risk of esthetically inacceptable results with breast-conserving surgery

T4 Various options to be selected with the oncologist – The lesion is surgically removed whenever possible
Tis Complete surgical removal (possibly with RT)
  • Ranging from tumorectomy to simple mastectomy

  • SLN in G3 patients