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The recommendations of the AGO Breast Committee on the surgical therapy of breast cancer were last updated in March www. Since surgical therapy is one of several partial steps in the treatment of breast cancer, extensive diagnostic and oncological expertise of a breast surgeon and good interdisciplinary cooperation with diagnostic radiologists is of great importance.
The most important changes concern localization techniques, resection margins, axillary management in the neoadjuvant setting and the evaluation of the meshes in reconstructive surgery. Thus, the technique is considered to be equivalent to wire localization, provided that it is a lesion which can be well represented by sonography, the surgeon has extensive experience in breast ultrasound and has access to a suitable ultrasound device during the operation.
Oncoplastic operations can also replace a mastectomy in selected cases due to the large number of existing techniques, and are equivalent to segmental resection in terms of oncological safety at comparable rates of complications. Sentinel node excision is recommended for patients with cN0 status receiving neoadjuvant chemotherapy after completion of chemotherapy. Minimally invasive biopsy is recommended for initially suspect lymph nodes. Key words: breast cancer, breast surgery, surgical therapy, guidelines, neoadjuvant chemotherapy.
AGO Mamma last updated the recommendations for the diagnosis and therapy of breast cancer in March www. The new study results and current congress contributions were taken into account. Two out of a total of 26 chapters deal with surgical treatment:. Prior to the vote, the current evidence was discussed thoroughly within the Committee. In , the Committee focused on the following topics: Resection margins, localization techniques and axillary surgical management in the neoadjuvant setting.
