Die Behandlung des kleinen Mammakarzinoms hat in den letzten 10 Jahren eine wesentliche Veränderung durch die «brusterhaltende Therapie» erfahren: Der Tumor wird meist durch Quadrantektomie mit den axillären Lymphknoten entfernt und eine Bestrahlung des restlichen Brustgewebes angeschlossen. Eine Alternative dazu ist die modifizierte subkutane Mastektomie mit Axillaausräumung, aber ohne Nachbestrahlung. Größere Mammatumoren werden nach Patey abladiert und die Brust in gleicher Sitzung oder später mit Hilfe eines Hautexpanders, Silikon-Implan-taten oder zunehmend mit Eigengewebe (transversaler Unterbauchlappen) wieder aufgebaut. Gegenüber der reinen Ablatio kommt es nach dem frühzeitigen Wieder-aufbau zu keiner verzögerten Erkennung von etwaigen Lokalrezidiven.

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