Breast Surgery in Delhi

Breast Cancer Epidemiology

Halsted Theory
Radical Mastectomy
Fisher Theory
Modified Radical Mastectomy
Goals of Breast Conservation
Targeting the Cancer
Sentinel Lymph Node Dissection
Skin Sparing / Tissue Expander-Implant
NSM / Direct to Implant
Skin Sparing / Free Flap
Cryoablation - Probe Placement
Cryoablation - Iceball Formation
Breast Cancer Epidemiology
Most common type of cancer among women
1 in 8 women will develop breast cancer over her
lifetime; 1 in 100 men
Second most common cause of cancer deaths among
women
~200,000 new cases and ~40,000 deaths per year
Risk increases with age
HALSTED THEORY LUNGS

LIVER
LYMPH NODES

BONE

CANCER
Radical Mastectomy
FISHER THEORY

LYMPH NODES

CANCER LUNGS

LIVE
BLOOD STREAM
R
BON
E
Modified Radical Mastectomy
Modified Radical Mastectomy
Goals of Breast Conservation
Minimize local recurrence at the primary site
Achieve an acceptable cosmetic result
Eradicate microscopic foci of cancer with radiation
Minimize risk of complications
Maximize benefit in terms of quality of life
Targeting the Cancer
Sentinel Lymph Node Dissection
Skin Sparing / Tissue Expander-
Implant
The Future Ablative Therapy
Majority of patients are candidates for breast
conserving lumpectomy
Still requires general anesthesia, scarring, potential for
cosmetic deformity, and may require multiple
operations (literature reports 25-40% re-excision for
positive margins)

Ablation involves destruction of the tumor without the

need for surgery
Used for liver, kidney and other cancers
Thank You

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