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Chapter-07 Breast Cancer Surgery: Shift from Halstedian Mastectomy to Nipple Sparing

BOOK TITLE: Changing Paradigm in Breast Cancer Management

Author
1. Mehta Ajay
ISBN
9789350250495
DOI
10.5005/jp/books/11247_7
Edition
1/e
Publishing Year
2011
Pages
6
Author Affiliations
1. Nowrosjee Wadia Maternity Hospital, Mumbai, Maharashtra, India, Central India Cancer Research Institute, Nagpur, Maharashtra, India
Chapter keywords

Abstract

For the last 2000 years surgery has been the primary treatment for patients with breast cancer. During this period, surgical procedures for breast cancer became more extensive and culminated in the radical mastectomy as described by Halstead. Such extensive surgery was fuelled, and perpetuated, by the widespread acceptance of the Halstedian concept of tumour biology and tumour spread. As a result of this, radical mastectomy dominated surgical practice for breast cancer for almost 100 years. However, with advances in our understanding of tumour biology, these Halstedian concepts were challenged. As a result, novel, and less extensive, approaches to the surgical treatment of breast cancer were initiated and evaluated in a scientific manner.

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