Management

Management of Breast Conditions

Timely and accurate management of breast diseases is vital for the health and quality of life of every woman. Whether it concerns a benign lesion or breast cancer, modern medicine offers individualized, effective solutions based on international standards.

Diagnosis: The First and Most Critical Step

Effective management begins with a comprehensive breast diagnostic evaluation, which includes:

• Clinical examination by a specialized breast surgeon

• Digital mammography

• Breast ultrasound

• Magnetic resonance mammography (MRM) (MRI), when indicated

• Biopsy for histopathological confirmation

The evaluation is based on the personal and family history, age, risk factors and the nature of the lesion, with the aim of achieving an accurate diagnosis and the best therapeutic strategy.

Benign Breast Conditions: When Is Intervention Needed?

The Benign Breast Lesions are common and usually pose no health threat. However, they require close monitoring and treatment when necessary. Key management options include:

• Clinical and imaging surveillance to maintain control για τη διατήρηση του ελέγχου

• Pharmacological therapy, when symptoms are present (e.g., pain)

• Biopsy, for suspicious findings

• Lumpectomy, when lesion removal is indicated

Proper management of benign conditions prevents future complications and reduces patient anxiety.

Breast Cancer: Comprehensive, Personalized Treatment

The management of breast cancer is based on an individualized plan tailored to the type, stage, and biological characteristics of the tumor. The treatment regimen includes:

Surgical treatment:

• Oncoplastic Surgery (Breast-Conserving Surgery): (breast-conserving)

• Mastectomy, when required

• Lymph node dissection or sentinel lymph node biopsy

• Oncoplastic, reconstruction to restore breast morphology

Adjuvant therapy

Depending on tumor characteristics, may include:

• Chemotherapy

• Radiotherapy

• Endocrine Therapy

• Monoclonal antibodies (e.g., trastuzumab for HER2-positive tumors)

The goal is to optimize prognosis, minimization of recurrence, and preservation of quality of life.

The Importance of a Personalized Approach

No woman is the same. Modern breast oncologic surgery is based on the principle of personalized medicine. Each decision is made based on:

• Patient’s age and preferences

• Oncologic and general medical profile

• International guidelines (NCCN, ESMO)

Breastaware.gr: Your Ally in Prevention and Awareness

At Breastaware.gr , you will find reliable, scientifically supported information about all breast conditions,prevention, and early diagnosis. Our goal is to empower every woman with knowledge and confidence to monitor her health effectively.

Bibliography:  

1. American Cancer Society. Breast Cancer Facts & Figures 2023-2024. Atlanta: American Cancer Society, Inc. 
2. National Comprehensive Cancer Network (NCCN). NCCN Clinical Practice Guidelines in Oncology: Breast Cancer. Version 4.2025. 
3. Cardoso F, Kyriakides S, Ohno S, et al. Early breast cancer: ESMO Clinical Practice Guidelines. Ann Oncol. 2019;30(8):1194–1220. 
4. Sardanelli F, Boetes C, Borisch B, et al. Magnetic resonance imaging of the breast: Recommendations from the EUSOMA working group. Eur J Cancer. 2010;46(8):1296–1316. 
5. Houssami N, Ciatto S, Irwig L, et al. Accuracy and surgical impact of magnetic resonance imaging in breast cancer staging: systematic review and meta-analysis. J Clin Oncol. 2008;26(19):3248–3258.

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