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What is A 28 year old female with infiltrating Breast carcinoma with 1 cm hard lump. T1-N0-M0. Best treatment is? and explain in detail?
Ans. (b) Simple mastectomyRef: Sabiston 19th ed./849-853* According to staging given in question, this is a case of stage 1 breast CA for which simple mastectomy is preferred.Types of Mastectomy Simple or Total mastectomyRemoval of breast tissue, nipple-areola complex, and skinExtended simple mastectomySimple mastectomy + removal of level 1 axillary LNs.Modified radical mastectomyRemoves all breast tissue and skin, nipple areola complex, pectoralis major and minor muscles and the level, 1, II and III axillary LNs,Extended radical mastectomyRadical mastectomy + Removal or internal mammary, LNsSuper radical mastectomyRadical mastectomy + Removal of internal mammary, mediastinal and supraclavicular LNs