Evolution of surgical treatment of breast cancer and progress.docVIP

 PAGE \* MERGEFORMAT 18 Evolution of surgical treatment of breast cancer and progress [Keywords:] breast cancer; conserving surgery; sentinel lymph node biopsy; minimally invasive treatment As people of various large-scale prospective clinical study of breast cancer and breast cancer biological characteristics of the continuous deepening of awareness, the development of breast cancer awareness and understanding of the law gradually improved, and its mode of treatment has undergone a fundamental change. Breast Cancer Surgery anatomy from a local operation based on the pursuit of thoroughness Halsted radical mastectomy, extended radical mastectomy, the general theory of biological changes as a guide to narrow the scope of minimally invasive surgical direction. the writer’s evolution and development of breast cancer surgery trends an overview. the history of surgical treatment of breast cancer 19 Shiji breast cancer is considered a local disease, regional lymph nodes are cancer cells through a mechanical barrier, follow the time and in accordance with the law of Anatomy “lymphatic blood” of transmission for that first by breast cancer metastasis from the primary tumor area lymph nodes, followed by hematogenous spread again. that is, the first for the local lesion of breast cancer and later developed into systemic disease Virshow hypothesis [1]. If the lesion can spread before its complete removal, you can get cured. According to this theory, 1894 created on Halsted radical mastectomy [2], the 5-year survival rate from breast cancer over the past 10% to 20% to 40% to 50%, known as the surgical treatment of breast cancer surgical landmark .1918 years, Stibbe describes the distribution of the internal mammary lymph nodes. the next three decades growing recognition that axillary lymph node metastasis of breast cancer in addition to means, the internal mammary lymph node metastasis is also the first stop, supraclavicular, mediastinal lymph nodes for the first