Surgical Innovations in Breast Cancer

Surgery remains a foundational component in the treatment of breast cancer, offering both curative and palliative options. Over the past few decades, significant innovations in surgical techniques have reshaped the landscape of breast cancer care—shifting from radical approaches to more precise, personalized, and aesthetically mindful procedures. Tools such as intraoperative ultrasound, cavity-shave margins, and emerging margin assessment technologies (like optical spectroscopy and micro-CT) will be reviewed for their impact on re-excision rates and local recurrence. Oncoplastic surgery, a transformative approach that combines oncologic resection with plastic surgery techniques, will also be thoroughly discussed. Oncoplastic surgery allows for wider excisions without compromising aesthetic appearance, expanding BCS eligibility for patients with larger tumors or unfavorable tumor-to-breast size ratios. 

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