Breast-conserving treatment (BCT)
- Wide local excision (lumpectomy) + Radiotherapy
- Suitable for tumor <4cm
- Excision of tumor with 1cm margin of normal tissue+ sentinel node biopsy± node clearance
- Postoperative radiotherapy
Modified radical mastectomy(MRM)
Large tumor, widespread disease or those who choose this treatment.
- Whole breast is removed with some overlying skin (usually including the nipple), but leaves the chest wall muscles intact with axillary surgery (SLB ± clearance)
Radiotherapy:
- Given to high risk - >3 LN involvement, lymphatic/vascular invasion, grade3 tumor, >4cm tumor, tumor attached to pectoral fascia or close surgical margin <5mm