Vlastos Georges, Berclaz Gilles, Langer Igor, Pittet-Cuenod Brigitte, Delaloye Jean-François
Service de gynécologie, Unité de sénologie et d'oncogynécologie chirurgicales, HUG, Genève.
Rev Med Suisse. 2007 Oct 24;3(130):2389-90, 2392-5.
Breast conserving surgery followed by radiation therapy is the treatment of choice for early breast cancer. For patients who choice or need a mastectomy, breast reconstruction provides an acceptable alternative. Breast cancer surgery has been evolving through minimally invasive approaches. Sentinel node biopsy has already remplaced axillary lymph node dissection in the evaluation of the axilla. Local ablation of the tumor may be a valuable alternative to surgery in the future.
保乳手术联合放射治疗是早期乳腺癌的首选治疗方法。对于选择或需要进行乳房切除术的患者，乳房重建是一种可接受的替代方案。乳腺癌手术一直在通过微创方法不断发展。前哨淋巴结活检已在腋窝评估中取代了腋窝淋巴结清扫术。肿瘤局部消融在未来可能是一种有价值的手术替代方法。
