NEW TRENDS FOR BREAST-CANCER SURGERY

Multiple technical and strategical improvements have modified surgical management of breast cancer. Screening mamographies are able to focus small tumors in which excision eventually after percutaneous biopsy c an necessitate two surgical procedures. Reduction of axillary dissecti on in these small lesions can benefit from sentinel node biopsy techni que. Immediate or delayed breast reconstruction reduces the mutilation of the mastectomies with their psycho-social disasters. Technically t hese reconstruction requires a multidisciplinary approach and psycholo gical support. These surgical evolutions in parallel with other therap ies for breast cancer developed with two major points: necessity of a good local control for cure, multidisciplinary approach which makes su rgeons reals oncologists.