Breast Unit at Dr. Rami Hamed Center
Since 1982, when Umberto Veronesi, an Italian cancer surgeon and researcher published his results on hundreds of breast cancer patients, and showing that segmental resection or quadrantectomy plus axillary node dissection give equal survival rate to doing radical mastectomy, we have been applying this method ever since.
When do we do such conservative surgery?
- When there is no evidence of disease or micro calcifications on mammogram in other quadrants of the breast
- When the tumor size in relation to breast size is disproportional
- Of course by removing one quarter of the breast, we will do oncoplastic procedure so as to end up with near to normal looking breast.
When do we avoid axillary node dissection?
- When there are no palpable axillary nodes and the sentinel lymph node (the first and lowest axillary node that receives the tumor cells) biopsy is negative for cancer cells
- In this way, in early breast cancer, we usually do conservative surgery to end up with near to normal looking breast and avoid axillary dissection and its bad sequelae like arm edema and restriction of arm movement
- Of course, we have to give the remaining breast tissue radiotherapy to decrease the incidence of cancer recurrence in that breast
*breast surgery, breast treatment