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Advanced Surgical Modalities in Breast Cancer Treatment
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Advanced Surgical Modalities in Breast Cancer Treatment

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Clinical Research of Cancer".

Deadline for manuscript submissions: 20 February 2026 | Viewed by 1625

Special Issue Editor

Dr. Jan Žatecký

E-Mail Website
Guest Editor
1. The Institute of Paramedical Health Studies, Faculty of Public Policies, Silesian University, Opava, Czech Republic
2. Department of Surgical Oncology, Masaryk Memorial Cancer Institute, Brno, Czech Republic
3. Department of Surgery, Silesian Hospital in Opava, Opava, Czech Republic
Interests: breast cancer surgery; localisation methods
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

New technologies in breast cancer surgery are emerging every year, enabling surgeons to perform procedures with greater precision and accuracy—both in breast tumor resection and axillary staging.

Today, breast cancer surgeons rely on a wide range of technical tools in their daily practice, including tracers, localization methods, specimen radiography, and more.

We are pleased to invite you to contribute an article to this Special Issue, which is dedicated to advanced surgical modalities in breast cancer treatment. Submissions on novel methods, innovative techniques, or cutting-edge technologies in breast cancer surgery are warmly welcome.

In this Special Issue, original research articles, commentaries and reviews are welcome.

We look forward to receiving your contributions.

Dr. Jan Žatecký
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • breast cancer surgery
  • breast cancer localization
  • breast conserving surgery
  • mastectomy
  • oncoplastic surgery
  • axillary lymph node staging
  • sentinel lymph node biopsy
  • targeted axillary dissection

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Published Papers (2 papers)

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Research

12 pages, 785 KB  
Article
Efficacy of Intraoperative Widening of Surgical Resection Margins for Non-Palpable Breast Cancer: An Analysis of 771 Breast-Conserving Surgeries
by Virginia Casati, Clémence Aellen, Elisa Ramazzotti, Camilla Favero, Marcel Kapahnke, Roberta Decio, Claudia Canonica, Nickolas Peradze, Simone Schiaffino, Diana Spinelli, Carola Mia Laura Catanese, Angela Lia Scarano, Ulrike Perriard, Meltem Yenigün and Maria Luisa Gasparri
Cancers 2025, 17(23), 3827; https://doi.org/10.3390/cancers17233827 - 28 Nov 2025
Viewed by 191
Abstract
Background: The aim of the implementation of preoperative marking procedures in non-palpable breast cancer is to obtain a successful excision of the intended lesion with tumor-free resection margins while removing as little as possible of the surrounding healthy breast tissue to better preserve [...] Read more.
Background: The aim of the implementation of preoperative marking procedures in non-palpable breast cancer is to obtain a successful excision of the intended lesion with tumor-free resection margins while removing as little as possible of the surrounding healthy breast tissue to better preserve cosmetic integrity. Based on the intraoperative X-ray of the tumor specimen, intraoperative widening of selected surgical resection margins (IWSM) can be performed to decrease the positive margin rate. This study aims to evaluate the role of IWSM in breast-conserving surgery. Methods: All patients undergoing guidewire localized conservative surgery for non-palpable breast cancers were considered for the study. Patients, tumor characteristics, and pathological findings were collected. Tumor specimens undergoing intraoperative X-ray were considered for the analysis. The number of IWSM specimens, the IWSM specimens containing tumor cells at final histology, and the volume of IWSM specimens were calculated. Results: Data from 771 tumorectomies for non-palpable breast cancer performed between 2017 and 2023 at the Centro di Senologia della Svizzera Italiana (CSSI) were collected. A total of 751 tumorectomies with intraoperative X-ray assessment of the margin’s status were included. In 461/751 cases (61.4%), at least one IWSM specimen was obtained. At the final histopathology, in 354/461 IWSM specimens (76.8%), no tumor cells were reported, while they were reported in 107/461 (23.2%). Of these, 89/107 (83.2%) had overall negative margins, while 18/107 (16.8%) presented involved margins at the final histopathology. In 323/461 (70.1%) IWSM specimens, the pathological report provided three dimensions useful for volume calculation. The mean volume of these specimens was 9 ± 15 cm3. Conclusions: IWSM can help increase the efficacy of tumorectomies for non-palpable breast cancer lesions. However, in the majority of cases, healthy breast tissue is removed as well. Tumor and patient characteristics may help in the selection of cases for which IWSM reduces the positive margin rate and the number of unnecessary procedures. Full article
(This article belongs to the Special Issue Advanced Surgical Modalities in Breast Cancer Treatment)
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12 pages, 250 KB  
Article
Effect of Acellular Dermal Matrix in Postoperative Outcomes in Tissue Expander Breast Reconstruction After Immediate Mastectomy
by Óscar Nova-Tayant, Eduardo Saorín-Gascón, Ramón A. Moreno-Villalba, María A. Mora-Ortiz, Clemente J. Fernández-Pascual, Pablo J. Vera-García and Antonio Piñero-Madrona
Cancers 2025, 17(19), 3185; https://doi.org/10.3390/cancers17193185 - 30 Sep 2025
Viewed by 1224
Abstract
Background: Breast reconstruction following mastectomy has become an essential procedure in breast cancer treatment due to its positive impact on patients’ quality of life. Among the various reconstruction techniques, the use of expanders followed by implants has gained popularity. In this context, acellular [...] Read more.
Background: Breast reconstruction following mastectomy has become an essential procedure in breast cancer treatment due to its positive impact on patients’ quality of life. Among the various reconstruction techniques, the use of expanders followed by implants has gained popularity. In this context, acellular dermal matrices (ADM) have been introduced as an adjunct to improve implant coverage, lower pole support, and aesthetic outcomes. However, their use has also been associated with higher costs and a potential increase in postoperative complications, which remains a matter of debate. We aimed to determine the relationship between acellular dermal matrix and postoperative outcomes and complications. Methods: An observational retrospective study was conducted with patients who underwent immediately breast mastectomy followed by tissue expander reconstruction from January 2022 to June 2024. Patients were divided into two groups depending on reconstructive plane. Results: The final cohort contained 87 patients. Smoking, radiotherapy and dermal matrix were associated with a higher complication rates. After risk-adjustment, dermal matrix use led to a higher rates of surgical site infection (OR 7.62, p = 0.029) in the prepectoral plane, and higher rates of overall complications (OR 3.34, p = 0.05) and surgical wound dehiscence (OR 6.04, p = 0.048) in the retropectoral plane. Conclusions: These findings highlight the importance of individualized surgical planning, particularly concerning the use of acellular dermal matrix, which were associated with increased risks of surgical site infection, dehiscence, and global complications. Further research is required to establish standardized guidelines for the optimal selection surgical technique. Full article
(This article belongs to the Special Issue Advanced Surgical Modalities in Breast Cancer Treatment)
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