Breast Surgical Oncology

Breast surgical oncologists have specialized training in the surgical management of breast cancer and the many considerations that help to determine the most appropriate surgical approach for a particular cancer type.

Lumpectomy: Lumpectomy is breast-conserving surgery that removes only the breast tumor and some of the normal tissue that surrounds it. The amount of tissue removed can vary greatly depending on the size of the tumor. Breast conservation with lumpectomy is an excellent and safe option in the majority of breast cancers.

Mastectomy: Mastectomy is the surgical removal of the entire breast. There are several types of mastectomy. Your surgeon will work closely with you to determine the most appropriate surgery for your needs. In general, mastectomy no longer includes the removal of muscle. Advanced surgical options are also now available that allow us to preserve all or part of the original “breast envelope,” the skin overlying the breast mound. These are called nipple-sparing and skin-sparing mastectomies and allow for the reconstructive process to begin at the time of the mastectomy with excellent cosmetic results.

Lymph Node Surgery: A very important part of breast cancer surgery is assessing the lymph nodes for disease spread. We know that breast cancer spreads to the glands under the arm first, and, from there, can spread to other parts of the body. Using the least invasive methods possible, our surgeons perform a Sentinel Lymph Node Biopsy (SLNB) at the time of lumpectomy or mastectomy to check for the presence of disease. Traditional methods of removal of the majority of the lymph nodes are no longer necessary in most cases and performed infrequently.