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[Surgical therapy of primary breast carcinoma--options and perspectives].

During the past quarter of the century the management of breast cancer has been dramatically influenced by new ideas and discoveries which, after being tested in controlled studies, govern current clinical practice. New therapeutic options are discussed, and first results are presented. The following procedures are illustrated: Van Nuys Classification of DCIS, skin-sparing mastectomy, stereotactic biopsy (ABBI), endoscopic axillary dissection, fluorescentic detection of positive lymph nodes, sentinel lymph nodes. Neoadjuvant chemotherapy, and menstrual cycle-dependent timing.