INVASIVE BC. Local control in tx options expanded BB2.
1. Breast conserving tx (lumpectomy)= excision of 1ry tm ( < 5 cm) + ipsilat Rtx --> 5 yrs of endocrine tx if ER/EP +
( premeno- use tamoxifen, postmeno use AI)
2. Mastectomy. Usu no Rtx, (except in large tm > 5 cm, w/ 4 or more positive axillary LN, close surgical margins, or dermal invasion)
* svv is iqual
* most cases invasive BC use adjuvant chemotx