{"id":456,"date":"2026-01-10T00:25:01","date_gmt":"2026-01-10T00:25:01","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=456"},"modified":"2026-04-11T03:56:12","modified_gmt":"2026-04-11T03:56:12","slug":"breast-conserving-surgery-mastectomy","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/breast-surgery\/breast-conserving-surgery-mastectomy\/","title":{"rendered":"Breast-conserving Surgery and Mastectomy"},"content":{"rendered":"<section class=\"op-section disease\">\n<p>  <!-- Key takeaways --><\/p>\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">What we do<\/div>\n<div class=\"disease-kpi__value\">\n    Breast-conserving surgery and mastectomy\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Our focus<\/div>\n<div class=\"disease-kpi__value\">\n    Oncological safety and adequate surgical margins\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Decision making<\/div>\n<div class=\"disease-kpi__value\">\n    Based on tumour characteristics and patient factors\n  <\/div>\n<\/div>\n<\/div>\n<p class=\"disease-lead\">\n  Surgical treatment for breast cancer includes breast-conserving surgery and mastectomy.<br \/>\n  At Kishiwada Tokushukai Hospital, the surgical approach is selected based on tumour characteristics,<br \/>\n  extent of disease, and overall treatment planning, with priority placed on oncological safety.\n<\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Breast-conserving surgery<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Breast-conserving surgery removes the tumour while preserving as much normal breast tissue as possible.<br \/>\n        This approach is considered when tumour size, location, and extent allow resection with adequate margins.\n      <\/p>\n<p>\n        Intraoperative pathological assessment may be performed, when indicated,<br \/>\n        to evaluate surgical margins.\n      <\/p>\n<p class=\"disease-muted\">\n        Postoperative radiation therapy is usually included to reduce the risk of local recurrence.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Mastectomy<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Mastectomy involves removal of the entire breast and may be selected based on tumour extent,<br \/>\n        multifocal disease, previous radiation therapy, or patient preference.\n      <\/p>\n<p>\n        In selected cases, nipple-sparing or skin-sparing techniques may be considered<br \/>\n        after assessment of oncological safety.\n      <\/p>\n<p class=\"disease-muted\">\n        The surgical approach is determined individually,<br \/>\n        taking into account disease control and subsequent treatment planning.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Axillary surgery<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Axillary management is planned based on clinical findings and pathological evaluation.<br \/>\n        Sentinel lymph node biopsy is used to assess lymph node involvement<br \/>\n        and may help avoid unnecessary axillary dissection.\n      <\/p>\n<p class=\"disease-muted\">\n        Further details are available on the sentinel lymph node biopsy page.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Multidisciplinary coordination<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Surgical treatment is planned alongside systemic therapy and radiation therapy<br \/>\n        as part of an integrated treatment approach.<br \/>\n        This supports appropriate sequencing of surgery and adjuvant treatment.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Appointments are required in principle.<br \/>\n          A referral letter from another medical institution is recommended but not mandatory.\n        <\/p>\n<p class=\"disease-muted\">\n          For appointment requests and language support, please see the<br \/>\n          <a href=\"\/en\/departments\/breast-surgery\/#contact\">Breast Surgery<\/a> page.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>What we do Breast-conserving surgery and mastectomy Our focus Oncological safety and adequate surgical margins Decision making Based on tumour characteristics and patient factors Surgical treatment for breast cancer includes breast-conserving surgery and mastectomy. At Kishiwada Tokushukai Hospital, the surgical approach is selected based on tumour characteristics, extent of disease, and overall treatment planning, with [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":445,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-456","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/456","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=456"}],"version-history":[{"count":3,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/456\/revisions"}],"predecessor-version":[{"id":1520,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/456\/revisions\/1520"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/445"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}