Published in:
15-09-2022 | Mastectomy | Breast Oncology
Points to Consider Regarding De-Escalation Surgery in High-Risk Breast Cancer
Authors:
Giovanni Corso, MD, PhD, Francesca Magnoni, MD, PhD, Paolo Veronesi, MD
Published in:
Annals of Surgical Oncology
|
Issue 13/2022
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Abstract
For women affected by breast cancer who carry germline BRCA1/2 pathogenic variants, the classic standard treatment consists of therapeutic unilateral mastectomy and risk-reducing contralateral mastectomy. However, data from recent literature demonstrate that for women treated with breast-conserving surgery who receive adequate adjuvant treatments, the increased risk of locoregional recurrences and a breast cancer-related prognosis is not significant. This review describes the clinical factors that could help clinicians decide either against or in favor of a more aggressive type of breast cancer surgery.