Michael H. Torosian, MD, and a panel of physicians and clinical researchers critically synthesize the wide variety of treatment options available to create a state-of-the-art reference for the management of breast cancer patients. Writing from a multidisciplinary perspective, these authoritative contributors review in the light of the most recent findings the major clinical aspects of breast cancer, including, epidemiology and risk factors, breast imaging, biopsy techniques, breast-conserving surgery and reconstruction, mastectomy, and the latest developments in radiation, hormonal, and chemotherapy. Their expert discussion also addresses special clinical situations (adjuvant chemotherapy, axillary adenopathy as initial presentation, breast cancer during pregnancy, and sarcoma and lymphoma of the breast) and explains current clinical controversies (breast-conserving surgery without radiation therapy, axillary lymph node management, and management of internal mammary lymph nodes).

Part I. Clinical Management

Epidemiology and Clinical Risk Factors
Mary B. Daly

Breast Imaging
Julia A. Birnbaum and Emily F. Conant

Breast Biopsy Techniques
Lisa A. Newman and Frederick C. Ames

Clinical Classification of Breast Cancer
Michael H. Torosian

Breast-Conserving Surgery: Lumpectomy With or Without Axillary Dissection
Samuel W. Beenken and Kirby I. Bland

Mastectomy
David R. Brenin and David W. Kinne

Breast Reconstruction
Louis P. Bucky and Gary A. Tuma

Radiation Therapy
Barbara Fowble and Gary Freedman

Chemotherapy in Breast Cancer
Michael P. Russin and Lori J. Goldstein

Hormonal Therapy of Breast Cancer
Halle C. F. Moore and Kevin R. Fox

The Role of Surgery for Metastatic Breast Cancer
Lori Jardines

Male Breast Cancer
Mahmoud El-Tamer and Lucy J. Kim

Oncogenes in the Development of Breast Cancer
Xiao Tan Qiao, Kenneth L. van Golen, and Sofia D. Merajver

Part II. Special Clinical Situations

Primary Chemotherapy
Deborah L. Toppmeyer

Axillary Adenopathy as the Initial Presentation of Breast Cancer
Shirley Scott and Monica Morrow

Breast Cancer During Pregnancy
Mary L. Gemignani and Jeanne A. Petrek

Local-Regional Recurrence in Breast Cancer
Thomas J. Kearney and David A. August

Nipple Discharge
Marcia Boraas

Sarcoma and Lymphoma of the Breast: Presentation, Diagnosis, and Treatment
Helena Chang and Jane Kakki

Part III. Current Controversies And Research

Breast Conservation Without Radiation Therapy for Carcinoma of the Breast
Gordon F. Schwartz.

Axillary Node Dissection in Breast Cancer
James F. Pingpank Jr. and Ellen R. Sigurdson

Internal Mammary Lymph Nodes: Management and Other Controversies
James C. Watson and John P. Hoffman

High-Dose Chemotherapy and Autologous Stem Cell Transplantation for Breast Cancer
Edward A. Stadtmauer

Immunotherapy and Gene Therapy for Breast Cancer
Daniela Santoli and Sophie Visonneau