Breast Cancer – New Surgical Advances

Posted by Brigham and Women's Hospital May 3, 2016

Ann Partridge and Tari King,

Dr. Tari King, Chief of Breast Surgery, and Dr. Ann Partridge, Director of the Program for Young Women with Breast Cancer, discuss a case.

Current trends in breast cancer management incorporate a “less is more” approach in many cases. This includes surgical treatment for breast cancer.

“We are finding that we can perform less extensive surgery and offer easier approaches for many patients with breast cancer, while still achieving excellent outcomes,” says Dr. Tari A. King, Chief of Breast Surgery and a member of the Breast Oncology Center at Dana-Farber/Brigham and Women’s Cancer Center.

Previous surgical treatment plans, for example, included full lymph node surgery for the presence of any cancer in the lymph nodes located under the arm. This can result in long-term arm swelling, a condition known as lymphedema. Recent studies have shown that, in patients with a limited amount of cancer in the lymph nodes (cancer in one or two nodes), it is not necessary to remove all of the remaining nodes.  The lymph nodes can remain in place and the cancer can be successfully treated with other modalities, such as medical and radiation therapies.

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Reducing Repeat Surgeries after Breast Cancer

Posted by Brigham and Women's Hospital January 30, 2013

Surgical oncologist Mehra Golshan, MD, (left) and members of the AMIGO team perform a practice run of a lumpectomy procedure on Nov. 15, 2012.

When Jane Davis was diagnosed with breast cancer in July 2012, she began learning as much as she could about the disease. Davis quickly discovered one of the most startling statistics about breast cancer — that up to 40 percent of women in the U.S. who undergo a lumpectomy to remove a tumor require a second surgery. That’s because surgeons often are unable to microscopically remove the entire tumor during the first surgery.

Dr. Mehra Golshan, Director of Breast Surgical Services at Dana-Farber/Brigham and Women’s Cancer Center, is trying to change that with his research using image-guided therapy, available through the Advanced Multimodality Image Guided Operating (AMIGO) suite at Brigham and Women’s Hospital, to perform more precise breast surgeries.

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