{"id":2249,"date":"2025-09-16T13:15:59","date_gmt":"2025-09-16T13:15:59","guid":{"rendered":"https:\/\/ebruayvazoglu.com\/?page_id=2249"},"modified":"2026-03-03T11:30:58","modified_gmt":"2026-03-03T11:30:58","slug":"breast-conserving-surgery","status":"publish","type":"page","link":"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/","title":{"rendered":"Breast-Conserving Surgery"},"content":{"rendered":"\n  <div class=\"banner has-hover\" id=\"banner-1119320855\">\n          <div class=\"banner-inner fill\">\n        <div class=\"banner-bg fill\" >\n            <img decoding=\"async\" width=\"1020\" height=\"574\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/Meme-Koruyucu-Cerrahi-1400x788.jpg\" class=\"bg attachment-large size-large\" alt=\"Ankara\">                                    \n                    <\/div>\n\t\t\n        <div class=\"banner-layers container\">\n            <div class=\"fill banner-link\"><\/div>            \n   <div id=\"text-box-405493751\" class=\"text-box banner-layer x50 md-x50 lg-x50 y50 md-y50 lg-y50 res-text\">\n                                <div class=\"text-box-content text dark\">\n              \n              <div class=\"text-inner text-center\">\n                  \n              <\/div>\n           <\/div>\n                            \n<style>\n#text-box-405493751 {\n  width: 60%;\n}\n#text-box-405493751 .text-box-content {\n  font-size: 100%;\n}\n@media (min-width:550px) {\n  #text-box-405493751 {\n    width: 60%;\n  }\n}\n<\/style>\n    <\/div>\n \n        <\/div>\n      <\/div>\n\n            \n<style>\n#banner-1119320855 {\n  padding-top: 400px;\n}\n@media (min-width:550px) {\n  #banner-1119320855 {\n    padding-top: 40%;\n  }\n}\n<\/style>\n  <\/div>\n\n\n\n\t<section class=\"section\" id=\"section_1728389847\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-2109222754\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Breast-Conserving Surgery          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_1728389847 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n  background-color: #aa2665;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1777456847\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1928169847\">\n\n\t<div id=\"col-769984509\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Breast-conserving surgery is a technique that aims to preserve most of the breast tissue while removing the cancerous tissue. In appropriately selected patients, it provides oncologic safety and offers more satisfying aesthetic outcomes.<\/p>\n<p>Breast-conserving surgery is generally preferred in early-stage breast cancer. During the operation, the tumor is removed together with a margin of healthy tissue around it. This allows the cancer to be cleared while preserving the breast shape.<\/p>\n<p>After breast-conserving surgery, radiotherapy is most often administered. This treatment reduces the risk of recurrence and increases the success of surgery. The combination of surgery and radiotherapy improves long-term survival rates.<\/p>\n<p>In addition to its aesthetic advantages, breast-conserving surgery is also important psychologically. By preserving body integrity, patients often experience fewer negative effects in their social and emotional lives. The treatment process is supported with regular follow-up.<\/p>\n<table>\n<tbody>\n<tr>\n<td>What You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Procedure Definition<\/td>\n<td>Breast-conserving surgery is a surgical method in breast cancer treatment in which the tumor and a small amount of surrounding healthy tissue are removed while the overall structure of the breast is preserved.<\/td>\n<\/tr>\n<tr>\n<td>Types of Surgery<\/td>\n<td>Lumpectomy (tumor excision), segmental mastectomy, partial mastectomy, oncoplastic surgery (breast-conserving surgery combined with aesthetic techniques).<\/td>\n<\/tr>\n<tr>\n<td>Indications<\/td>\n<td>Early-stage breast cancer (stages 0, I, II), a single-focus tumor limited to a small area of the breast, and the patient\u2019s aesthetic and medical suitability.<\/td>\n<\/tr>\n<tr>\n<td>Operation Duration<\/td>\n<td>Usually 1\u20132 hours; may take longer if a lymph node biopsy is added.<\/td>\n<\/tr>\n<tr>\n<td>Anesthesia<\/td>\n<td>Performed under general anesthesia.<\/td>\n<\/tr>\n<tr>\n<td>Hospital Stay<\/td>\n<td>Most patients are discharged the same day or the next day.<\/td>\n<\/tr>\n<tr>\n<td>Recovery Time<\/td>\n<td>Full recovery can be achieved within 1\u20132 weeks; recovery may be slightly longer after oncoplastic procedures.<\/td>\n<\/tr>\n<tr>\n<td>Common Risks<\/td>\n<td>Bleeding, infection, hematoma, firmness at the surgical site, temporary breast asymmetry.<\/td>\n<\/tr>\n<tr>\n<td>Long-Term Risks<\/td>\n<td>Cosmetic distortion, changes in breast shape, and very rarely local recurrence.<\/td>\n<\/tr>\n<tr>\n<td>Need for Radiotherapy<\/td>\n<td>Radiotherapy is routinely administered after breast-conserving surgery; it is the standard approach to reduce local recurrence risk.<\/td>\n<\/tr>\n<tr>\n<td>What Is Oncoplastic Surgery?<\/td>\n<td>The application of aesthetic surgery techniques at the same time as tumor removal, helping to preserve breast shape.<\/td>\n<\/tr>\n<tr>\n<td>Lymph Node Assessment<\/td>\n<td>Sentinel lymph node biopsy is frequently performed; axillary dissection may be required if positive.<\/td>\n<\/tr>\n<tr>\n<td>Aesthetic Advantages<\/td>\n<td>Because the breast is not removed completely, body image is preserved; symmetry and a natural appearance can be achieved.<\/td>\n<\/tr>\n<tr>\n<td>Alternatives<\/td>\n<td>Mastectomy (removal of the entire breast); may be considered if some patients do not wish to receive radiotherapy.<\/td>\n<\/tr>\n<tr>\n<td>Preoperative Preparation<\/td>\n<td>Mammography, breast MRI, biopsy, PET\/CT, tumor staging, anesthesia evaluation.<\/td>\n<\/tr>\n<tr>\n<td>Postoperative Follow-up<\/td>\n<td>Pathology results, margin status (negative surgical margins), and lymph node findings are evaluated.<\/td>\n<\/tr>\n<tr>\n<td>Diet<\/td>\n<td>No specific restriction; balanced and healthy nutrition is recommended.<\/td>\n<\/tr>\n<tr>\n<td>Return to Daily Life<\/td>\n<td>In simple cases, patients can return to normal life within about 1 week.<\/td>\n<\/tr>\n<tr>\n<td>Long-Term Monitoring<\/td>\n<td>Regular clinical examinations, mammography, MRI, and other imaging when needed are used to monitor for recurrence.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-769984509 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1777456847 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_900083507\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-width:-50px 0px 0px 0px;margin:-50px 0px 0px 0px;\">\n\t<\/div>\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1870680694\">\r\n\r\n\n\t<div id=\"col-110908126\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n<p>You can contact Prof. Dr. Ebru Soy, one of the doctors performing  in Ankara, to get information about  prices, the process, and the hospital where  is performed.<\/p>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-110908126 > .col-inner {\n  margin: -60px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-362273463\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#aa2665;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-center\"  id=\"row-119561312\">\r\n\r\n\n\t<div id=\"col-2117744567\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel-hakkimda x md-x lg-x y md-y lg-y\" id=\"image_192088259\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"653\" height=\"789\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda.webp\" class=\"attachment-large size-large\" alt=\"Ankara\" srcset=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda.webp 653w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/ebrusoy-hakkimda-331x400.webp 331w\" sizes=\"(max-width: 653px) 100vw, 653px\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_192088259 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-242567800\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-4234821518\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Prof. Dr. Ebru Ayvazo\u011flu Soy<\/strong><\/div>\r\n\t\t\n<style>\n#text-4234821518 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-4234821518 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-2960582396\" class=\"text text-justify\">\n\t\t\r\n\r\n<p><strong>Education;<\/strong><\/p>\r\n<p><strong>High School:<\/strong> TED Ankara College \u2013 Graduation: 1998<br \/><strong>Faculty of Medicine:<\/strong> <a href=\"https:\/\/tip.hacettepe.edu.tr\/\" target=\"_blank\" rel=\"noopener\">Hacettepe University Faculty of Medicine<\/a> \u2013 Graduation: 2005<br \/><strong>Specialization:<\/strong> General Surgery Residency Training \u2013 <a href=\"https:\/\/tip.baskent.edu.tr\/kw\/index.php\" target=\"_blank\" rel=\"noopener\">Ba\u015fkent University Faculty of Medicine<\/a>, Department of General Surgery \u2013 2012<\/p>\r\n<p><strong>Post-Specialization Career;<\/strong><\/p>\r\n<p><strong>2012\u20132014:<\/strong> Compulsory public service \u2013 Mu\u015f State Hospital<br \/><strong>January 2014 \u2013 November 2022:<\/strong> Ba\u015fkent University Faculty of Medicine, Department of General Surgery \u2013 Served as a specialist physician and later as an academician<br \/><strong>March 2016 \u2013 October 2017:<\/strong> Ba\u015fkent University Istanbul Practice Hospital \u2013 Deputy Director Responsible for Liver Transplantation<br \/><strong>June 2020 \u2013 November 2022:<\/strong> Ba\u015fkent University Ankara Hospital \u2013 Director of the International Patient Department<\/p>\r\n\t\t\t<\/div>\n\t\r\n<a href=\"https:\/\/ebruayvazoglu.com\/en\/about-me\/\" class=\"button white is-outline is-small\" style=\"border-radius:99px;\">\n\t\t<span>Review Resume<\/span>\n\t<\/a>\n\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" class=\"button white is-small\" style=\"border-radius:99px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Get in Touch<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-362273463 > .col-inner {\n  padding: 30px 30px 1px 30px;\n  margin: -30px 0px -40px 0px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_900083507 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1563795924\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1285100078\">\n\n\t<div id=\"col-1002970155\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#What_Is_Breast-Conserving_Surgery\" >What Is Breast-Conserving Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#How_Have_Breast_Cancer_Surgeries_Changed_Over_Time\" >How Have Breast Cancer Surgeries Changed Over Time?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#What_Are_the_Main_Goals_of_Modern_Breast_Cancer_Surgery\" >What Are the Main Goals of Modern Breast Cancer Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#Who_Is_a_Suitable_Candidate_for_Breast-Conserving_Surgery\" >Who Is a Suitable Candidate for Breast-Conserving Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#Are_There_Situations_Where_Breast-Conserving_Surgery_Cannot_Be_Performed\" >Are There Situations Where Breast-Conserving Surgery Cannot Be Performed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#Do_Genetic_Predispositions_Prevent_Breast-Conserving_Surgery\" >Do Genetic Predispositions Prevent Breast-Conserving Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#How_Are_Non-Palpable_Cancers_Found_During_Surgery\" >How Are Non-Palpable Cancers Found During Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#What_Is_Oncoplastic_Surgery_and_Why_Is_It_Important\" >What Is Oncoplastic Surgery and Why Is It Important?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#What_Does_%E2%80%9CClean_Surgical_Margins%E2%80%9D_Mean\" >What Does \u201cClean Surgical Margins\u201d Mean?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#What_Is_Done_for_Underarm_Axillary_Lymph_Nodes\" >What Is Done for Underarm (Axillary) Lymph Nodes?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#Is_Radiotherapy_Always_Necessary_After_Breast-Conserving_Surgery\" >Is Radiotherapy Always Necessary After Breast-Conserving Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ebruayvazoglu.com\/en\/treatments\/breast-conserving-surgery\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Breast-Conserving_Surgery\"><\/span>What Is Breast-Conserving Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Breast-conserving surgery is a surgical method for breast cancer treatment in which only the tumor and a margin of healthy tissue are removed rather than removing the entire breast. This approach aims to maintain oncologic safety while preserving the breast\u2019s aesthetic integrity as much as possible. It is most commonly used in early-stage breast cancer and is typically supported by radiotherapy after surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Have_Breast_Cancer_Surgeries_Changed_Over_Time\"><\/span>How Have Breast Cancer Surgeries Changed Over Time?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Years ago, when breast cancer was diagnosed, the standard treatment option was almost singular and very extensive: radical mastectomy. In this operation, the entire breast, the chest wall muscles, and all the underarm lymph nodes were removed. The belief at the time was that cancer spread like a stain and that removing more tissue would be safer. These operations undeniably saved lives, but the cost was high. Patients often had to live with lifelong arm swelling (lymphedema), restricted shoulder movement, and severe physical deformity.<\/p>\n<p>As medical science progressed, we began to understand the nature of cancer better. It became clear that breast cancer does not spread only by local extension; even at diagnosis, it may already have reached distant areas microscopically through the bloodstream. This was a major turning point. It was understood that performing a very large local operation on the breast alone would not prevent microscopic spread and therefore did not always improve survival on its own.<\/p>\n<p>This new understanding opened the door to a surgical revolution. Landmark studies in the 1970s and 1980s proved a critical fact in early-stage breast cancer: there was no difference in survival between patients treated with lumpectomy followed by radiotherapy and those treated with mastectomy. These findings clearly demonstrated that breast-conserving surgery is as safe as mastectomy in terms of cancer control. This was not just a shift in technique\u2014it was a fundamental change in treatment philosophy. The goal became not only to survive, but to survive with a good quality of life.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_the_Main_Goals_of_Modern_Breast_Cancer_Surgery\"><\/span>What Are the Main Goals of Modern Breast Cancer Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Modern breast cancer surgery is built on three essential goals that must be achieved simultaneously. They work like the three legs of a tripod\u2014if one is missing, success is compromised:<\/p>\n<p><strong>Completely Eliminating the Disease:<\/strong> This is the number one priority of any cancer surgery. The tumor is removed as a whole together with a \u201cclean\u201d (negative) rim of healthy tissue. This is the key condition for minimizing the risk of recurrence in the same area.<\/p>\n<p><strong>Minimizing Side Effects of Treatment:<\/strong> The aim is to keep treatment-related harm as low as possible. Avoiding problems such as arm swelling, chronic pain, and movement limitation\u2014common after older operations\u2014is essential. The best example is removing only a few \u201csentinel\u201d nodes rather than all underarm lymph nodes.<\/p>\n<p><strong>Achieving a Good Cosmetic Outcome:<\/strong> This goal acknowledges the profound impact of breast appearance on body image, confidence, and mental health. The aim is to create a natural, symmetric, and aesthetically satisfying breast shape after surgery. This has led to advanced techniques such as oncoplastic surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Who_Is_a_Suitable_Candidate_for_Breast-Conserving_Surgery\"><\/span>Who Is a Suitable Candidate for Breast-Conserving Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The decision for breast-conserving surgery requires careful evaluation and shared decision-making with the patient. Identifying the most appropriate treatment for each patient is the most important step of this process.<\/p>\n<p>In general, patients with early-stage breast cancer (Stage I or II) whose tumors can be removed with clean margins without causing a significant breast deformity are ideal candidates. The ratio of tumor size to breast size plays a critical role. The patient\u2019s desire to preserve the breast is also one of the most decisive factors.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1002970155 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1563795924 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_234959634\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-1778949377\">\n\n\n\t<div id=\"col-1743925746\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(170, 38, 101);border-radius:15px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\n\n<div class=\"row align-middle\"  id=\"row-820271707\">\n\n\n\t<div id=\"col-396867285\" class=\"col medium-10 small-12 large-10\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-746032395\" class=\"text show-for-small\">\n\t\t\n\n<div><strong>To Make an Appointment for Diseases in the Field of General Surgery<\/strong><\/div>\n\t\t\n<style>\n#text-746032395 {\n  font-size: 1.5rem;\n  text-align: center;\n  color: rgb(170, 38, 101);\n}\n#text-746032395 > * {\n  color: rgb(170, 38, 101);\n}\n@media (min-width:550px) {\n  #text-746032395 {\n    font-size: 2rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-2479129097\" class=\"text hide-for-small\">\n\t\t\n\n<div><strong>To Make an Appointment for Diseases in the Field of General Surgery<br \/>\r\n<\/strong><\/div>\n\t\t\n<style>\n#text-2479129097 {\n  font-size: 1.25rem;\n  line-height: 1.05;\n  text-align: center;\n  color: #aa2665;\n}\n#text-2479129097 > * {\n  color: #aa2665;\n}\n@media (min-width:550px) {\n  #text-2479129097 {\n    font-size: 1.7rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\t<div id=\"text-1697697471\" class=\"text\">\n\t\t\n\n<div>You can contact us via WhatsApp by clicking the button.<\/div>\n\t\t\n<style>\n#text-1697697471 {\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-1697697471 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n\n\t<div id=\"col-754975977\" class=\"col medium-2 small-12 large-2\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover hide-for-small x md-x lg-x y md-y lg-y\" id=\"image_565950098\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1.png\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"Ankara\" srcset=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1.png 500w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1-400x400.png 400w, https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-1-280x280.png 280w\" sizes=\"(max-width: 500px) 100vw, 500px\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_565950098 {\n  width: 100%;\n}\n@media (min-width:550px) {\n  #image_565950098 {\n    width: 65%;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t<div class=\"img has-hover show-for-small x md-x lg-x y md-y lg-y\" id=\"image_925114883\">\n\t\t<a class=\"\" href=\"https:\/\/api.whatsapp.com\/send\/?phone=905319478498\" target=\"_blank\" rel=\"noopener\">\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"512\" height=\"100\" src=\"https:\/\/ebruayvazoglu.com\/wp-content\/uploads\/2025\/09\/whatsapp-3.png\" class=\"attachment-2048x2048 size-2048x2048\" alt=\"Ankara\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\t\t\n<style>\n#image_925114883 {\n  width: 100%;\n}\n@media (min-width:550px) {\n  #image_925114883 {\n    width: 65%;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-754975977 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-754975977 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1743925746 > .col-inner {\n  padding: 20px 30px 1px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 15px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_234959634 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_414041627\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-59995585\">\n\n\t<div id=\"col-1505496586\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Are_There_Situations_Where_Breast-Conserving_Surgery_Cannot_Be_Performed\"><\/span>Are There Situations Where Breast-Conserving Surgery Cannot Be Performed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Yes. In some situations, breast-conserving surgery may not be oncologically safe or appropriate, and mastectomy (removal of the entire breast) may be required to avoid compromising the patient\u2019s health. These limitations can be grouped into absolute and relative contraindications.<\/p>\n<p><strong>Absolute contraindications<\/strong> include:<\/p>\n<ul>\n<li>Inflammatory breast cancer<\/li>\n<li>Multiple tumor foci spread across different areas of the breast<\/li>\n<li>Inability to achieve clean surgical margins despite re-excision<\/li>\n<li>Conditions that absolutely prevent radiotherapy, such as pregnancy<\/li>\n<li>Prior high-dose radiotherapy to the same chest\/breast region<\/li>\n<li>Diffuse suspicious microcalcifications throughout the breast on mammography<\/li>\n<\/ul>\n<p><strong>Relative contraindications<\/strong> (case-by-case assessment) include:<\/p>\n<ul>\n<li>A tumor that is very large relative to breast size<\/li>\n<li>Active connective tissue diseases such as scleroderma<\/li>\n<li>Certain rare genetic predispositions such as Li-Fraumeni syndrome<\/li>\n<\/ul>\n<p>Notably, a large tumor-to-breast ratio is not as strict a barrier as it once was. With preoperative chemotherapy or targeted therapies (neoadjuvant treatment), tumors may shrink and many patients who previously required mastectomy may become suitable candidates for breast-conserving surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Do_Genetic_Predispositions_Prevent_Breast-Conserving_Surgery\"><\/span>Do Genetic Predispositions Prevent Breast-Conserving Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is one of the most common questions and concerns. The answer is clear: <strong>No<\/strong>, they do not prevent breast-conserving surgery. Having a genetic predisposition such as BRCA1 or BRCA2 is not a barrier to receiving breast-conserving surgery for the treatment of an existing cancer.<\/p>\n<p>Many studies show that in mutation carriers treated with breast-conserving therapy (surgery + radiotherapy), the risk of cancer returning in the same breast is not significantly higher than in patients without such mutations.<\/p>\n<p>The key distinction is this: breast-conserving surgery treats the cancer you have now. A genetic mutation indicates a higher lifetime risk of developing a new cancer in either breast. Therefore, after safely treating the current cancer with breast-conserving therapy, future risk-reduction strategies (such as preventive surgery of the other breast) can be discussed separately with your doctor. In short, genetic predisposition does not prevent modern, breast-preserving treatment of the current cancer.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Are_Non-Palpable_Cancers_Found_During_Surgery\"><\/span>How Are Non-Palpable Cancers Found During Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>With widespread screening mammography, many breast cancers are detected very early\u2014before forming a lump that can be felt. While this is excellent news, it creates a challenge for the surgeon: how to locate and remove a target that cannot be seen or felt during surgery. This is where preoperative localization methods are used.<\/p>\n<p>For many years, wire localization was the standard. On the morning of surgery, a radiologist placed a thin wire into the lesion, and the surgeon followed the wire to the target. However, it had disadvantages such as discomfort, the risk of wire displacement, and limiting incision planning.<\/p>\n<p>Modern \u201cwire-free\u201d localization techniques have largely solved these problems. In these methods, a tiny marker\u2014often smaller than a grain of rice\u2014is placed into the lesion days before surgery. During the operation, the surgeon uses a handheld detector to locate the marker\u2019s signal and identify the target precisely.<\/p>\n<p>Advantages of wire-free localization include:<\/p>\n<ul>\n<li>Improved patient comfort and satisfaction<\/li>\n<li>Logistical convenience (less stress on surgery day)<\/li>\n<li>No risk of wire displacement<\/li>\n<li>Greater freedom for incision planning<\/li>\n<li>Better cosmetic outcomes<\/li>\n<\/ul>\n<p>Examples include radioactive seeds, radar reflectors, and magnetic seeds. All share the same purpose: providing the surgeon with a reliable roadmap to locate an \u201cinvisible\u201d target.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1505496586 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_414041627 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_397864478\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1574148255\">\r\n\r\n\n\t<div id=\"col-1418735239\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(170, 38, 101);border-radius:20px;border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-114990676\">\r\n\r\n\n\t<div id=\"col-1924577548\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-722097429\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact Us. <\/strong><\/div>\r\n\t\t\n<style>\n#text-722097429 {\n  font-size: 1.55rem;\n  color: #aa2665;\n}\n#text-722097429 > * {\n  color: #aa2665;\n}\n@media (min-width:550px) {\n  #text-722097429 {\n    font-size: 2.5rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"gap-633414637\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-633414637 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div>You can request an online appointment by filling out the form. Our team will contact you as soon as possible.<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-2121154891\" class=\"col medium-6 small-12 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f683-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"683\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2249#wpcf7-f683-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"683\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f683-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Book Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"110\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2121154891 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1418735239 > .col-inner {\n  padding: 20px 30px 0px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_397864478 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_836756888\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1814976546\">\n\n\t<div id=\"col-436453540\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Oncoplastic_Surgery_and_Why_Is_It_Important\"><\/span>What Is Oncoplastic Surgery and Why Is It Important?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Oncoplastic surgery represents the most advanced form of breast-conserving surgery. It combines the strict oncologic principles of cancer surgery with the aesthetic principles of plastic surgery in the same operation. The goal is not only to remove the cancer, but also to leave behind a natural, symmetric, and aesthetically satisfying breast.<\/p>\n<p>It is a mistake to see oncoplastic surgery as merely a \u201ccosmetic touch.\u201d In the right patient group, it can be <strong>more oncologically secure<\/strong> than standard surgery. Because breast reshaping is already planned, the surgeon can remove a wider margin of healthy tissue more comfortably. This significantly reduces the risk of positive margins and lowers the chance of needing a second operation.<\/p>\n<p>Oncoplastic techniques vary based on breast size and the amount of tissue to be removed and are generally divided into two categories:<\/p>\n<ul>\n<li><strong>Volume displacement techniques:<\/strong> Used in medium to large breasts. After tumor removal, the defect is filled by rearranging and reshaping the remaining breast tissue, often combined with breast reduction or lift. For symmetry, the other breast may be adjusted in the same session.<\/li>\n<li><strong>Volume replacement techniques:<\/strong> Used in small breasts or when a large volume must be removed. Tissue flaps from nearby areas (often the back or chest wall) are used to fill the defect.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"What_Does_%E2%80%9CClean_Surgical_Margins%E2%80%9D_Mean\"><\/span>What Does \u201cClean Surgical Margins\u201d Mean?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A surgical margin is the outer edge of the removed tissue specimen. After surgery, the specimen is sent to pathology and its edges are inked with a special dye. The pathologist examines whether cancer cells are present at the inked edge.<\/p>\n<p>If there are <strong>no cancer cells<\/strong> at the inked edge, this is called a <strong>negative (clean) margin<\/strong>, indicating the tumor was most likely removed completely.<\/p>\n<p>If <strong>cancer cells are present<\/strong> at the inked edge, this is called a <strong>positive margin<\/strong>, suggesting cancer may remain in the breast and often requiring re-excision surgery.<\/p>\n<p>Today, accepted clean margin standards depend on tumor type. For invasive cancers, the key rule is \u201cno tumor on ink.\u201d For in situ cancers (DCIS), at least a 2 mm margin is typically targeted for added safety. These standardized criteria help avoid unnecessary repeat surgeries.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Done_for_Underarm_Axillary_Lymph_Nodes\"><\/span>What Is Done for Underarm (Axillary) Lymph Nodes?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Just as breast surgery has become less extensive, axillary surgery has also changed dramatically over the last two decades. In the past, most underarm lymph nodes were removed to determine spread, often leading to lifelong lymphedema.<\/p>\n<p>The standard approach today is <strong>Sentinel Lymph Node Biopsy<\/strong>. The lymphatic system works like a river network. If a breast cancer spreads, it usually reaches the first one or a few \u201csentinel\u201d nodes\u2014like guard checkpoints. During surgery, dyes or tracers are used to identify these nodes, and only they are removed.<\/p>\n<p>If sentinel nodes are negative, the chance of spread to other nodes is extremely low, and no further axillary surgery is needed\u2014protecting the patient from the risks of a larger operation.<\/p>\n<p>Moreover, a major clinical trial (ACOSOG Z0011) showed that in breast-conserving surgery patients, even if 1\u20132 sentinel nodes contain small metastases, removing the remaining nodes is often unnecessary, because radiotherapy can control microscopic disease in the axilla. This was a breakthrough that spared many patients from avoidable surgery.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Is_Radiotherapy_Always_Necessary_After_Breast-Conserving_Surgery\"><\/span>Is Radiotherapy Always Necessary After Breast-Conserving Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Yes\u2014except for very rare exceptions, radiotherapy is an essential and standard component of breast-conserving treatment. Think of surgery and radiotherapy as a team: surgery removes the visible tumor, while radiotherapy destroys any microscopic cancer cells that imaging cannot detect. This combination minimizes the risk of recurrence in the same breast.<\/p>\n<p>Radiotherapy has also become more patient-friendly with modern approaches, including:<\/p>\n<ul>\n<li><strong>Hypofractionated radiotherapy:<\/strong> Completing treatment in 3\u20134 weeks instead of the traditional 5\u20136 weeks, with similar safety and effectiveness.<\/li>\n<li><strong>Accelerated Partial Breast Irradiation (APBI):<\/strong> Shorter treatment (about 1\u20132 weeks) focused only on the tumor bed.<\/li>\n<li><strong>Intraoperative radiotherapy (IORT):<\/strong> Delivering the radiotherapy dose in a single session during surgery.<\/li>\n<\/ul>\n<p>Your doctor will recommend the most appropriate radiotherapy approach based on your condition and tumor characteristics.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-436453540 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_836756888 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1942137564\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1456174599\">\n\n\t<div id=\"col-1018679557\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\t<div id=\"text-3874110770\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-3874110770 {\n  font-size: 1.5rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-567908697\" class=\"accordion-item\">\n\t\t<a id=\"accordion-567908697-label\" class=\"accordion-title plain\" href=\"#accordion-item-who-is-breast-conserving-surgery-suitable-for?\" aria-expanded=\"false\" aria-controls=\"accordion-567908697-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Who is breast-conserving surgery suitable for?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-567908697-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-567908697-label\">\n\t\t\t\n<p>Breast-conserving surgery is suitable for patients with early-stage breast cancer whose tumor is small relative to breast size. The tumor should be single-focus, and there must be no condition preventing radiotherapy.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2728872822\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2728872822-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-the-tumor-removed-completely-in-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-2728872822-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is the tumor removed completely in breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2728872822-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2728872822-label\">\n\t\t\t\n<p>Yes. The tumor is removed completely together with a rim of healthy tissue. Clean surgical margins are confirmed by pathology, and if needed, additional surgery may be planned.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1559116909\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1559116909-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-radiotherapy-necessary-after-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1559116909-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is radiotherapy necessary after breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1559116909-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1559116909-label\">\n\t\t\t\n<p>Yes, radiotherapy is usually administered to destroy microscopic cancer cells and reduce recurrence risk. It typically begins a few weeks after surgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-183040335\" class=\"accordion-item\">\n\t\t<a id=\"accordion-183040335-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-aesthetic-outcome-after-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-183040335-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the aesthetic outcome after breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-183040335-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-183040335-label\">\n\t\t\t\n<p>This method aims to preserve the natural breast shape. When the tumor bed is repaired carefully, most patients do not develop significant asymmetry. Oncoplastic techniques can be used when needed.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4236636316\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4236636316-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-recovery-like-after-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-4236636316-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is recovery like after breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4236636316-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4236636316-label\">\n\t\t\t\n<p>Recovery is usually completed within 1\u20132 weeks. Most patients return to normal activities quickly. During radiotherapy, mild skin redness and fatigue may occur.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1817733795\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1817733795-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-there-a-risk-of-recurrence-after-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-1817733795-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is there a risk of recurrence after breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1817733795-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1817733795-label\">\n\t\t\t\n<p>Yes, there is a small risk. However, with proper patient selection, clean margins, and radiotherapy, the risk is significantly reduced. Regular follow-up is essential.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1108328392\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1108328392-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-difference-between-breast-conserving-surgery-and-mastectomy?\" aria-expanded=\"false\" aria-controls=\"accordion-1108328392-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the difference between breast-conserving surgery and mastectomy?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1108328392-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1108328392-label\">\n\t\t\t\n<p>Mastectomy removes the entire breast, while breast-conserving surgery removes only the tumor. This way, the cancer is treated while preserving most of the breast.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4112890775\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4112890775-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-breastfeeding-possible-after-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-4112890775-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is breastfeeding possible after breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4112890775-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4112890775-label\">\n\t\t\t\n<p>If the nipple and milk ducts are preserved, breastfeeding is often possible later. However, this depends on tumor location and the surgical technique used.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2916919440\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2916919440-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-pain-or-loss-of-sensation-common-after-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-2916919440-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is pain or loss of sensation common after breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2916919440-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2916919440-label\">\n\t\t\t\n<p>Mild pain for a few days is normal and can be controlled with medication. Permanent sensory loss is rare; in most patients, sensation gradually returns.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4091779169\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4091779169-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-often-should-follow-ups-be-done-after-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-4091779169-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How often should follow-ups be done after breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4091779169-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4091779169-label\">\n\t\t\t\n<p>In the first year, follow-up is often recommended every 3\u20136 months. Afterwards, an annual mammogram and clinical exam are typical. Regular monitoring is vital for early detection of recurrence.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-389456443\" class=\"accordion-item\">\n\t\t<a id=\"accordion-389456443-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-are-the-types-of-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-389456443-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What are the types of breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-389456443-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-389456443-label\">\n\t\t\t\n<p>Breast-conserving surgery includes lumpectomy, wide local excision, and oncoplastic techniques. These aim to remove the tumor while preserving breast shape and are usually completed with radiotherapy.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2592259328\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2592259328-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-many-hours-does-breast-conserving-surgery-take?\" aria-expanded=\"false\" aria-controls=\"accordion-2592259328-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How many hours does breast-conserving surgery take?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2592259328-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2592259328-label\">\n\t\t\t\n<p>Breast-conserving surgery usually takes about 1\u20132 hours. Duration may vary depending on tumor size, location, and whether oncoplastic procedures or lymph node surgery are performed in the same session.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3354974592\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3354974592-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-are-the-contraindications-for-breast-conserving-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-3354974592-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What are the contraindications for breast-conserving surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3354974592-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3354974592-label\">\n\t\t\t\n<p>Major contraindications include multifocal tumors in the same breast, diffuse calcifications, inability to receive radiotherapy, and failure to achieve clean surgical margins.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1942137564 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":691,"parent":729,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2249","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2249","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/comments?post=2249"}],"version-history":[{"count":2,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2249\/revisions"}],"predecessor-version":[{"id":2276,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/2249\/revisions\/2276"}],"up":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/pages\/729"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media\/691"}],"wp:attachment":[{"href":"https:\/\/ebruayvazoglu.com\/en\/wp-json\/wp\/v2\/media?parent=2249"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}